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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-8147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM, <br /> <br /> I am performmg work on a property ~ own or occupy <br /> <br /> The work wUI be performed by a regis e ed buildor <br /> Other <br /> <br />BATE.' 12/07/89 TIME,. 14t50=35 <br /> NOLTERS, 81LL <br /> <br />56507-000 RESIDENTIAL <br /> <br /> 11972 STEINKAMP RD SE <br />AUr~SVILLE OR 97325 <br /> <br />USE Of- BUILDING <br /> <br /> CONTRACT CITY UGB OCCUPANT LOAD <br />~ARiON COUNTY NO <br /> <br />SlJ BDIVI$iQN <br /> <br />11852 STEINKAMP RD SE <br />PHONE= <br /> <br />LOT BI, COB <br /> <br />WIDTH OEP'i'H <br /> 281 <br /> <br /> SITE NUMBER; 6692 <br /> VALUATION: <br /> <br /> 33 85 1N AR 48 <br />298 77?78. SF NO NO <br /> <br />TYPE= ELEOTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />NOLTERS, BILL <br />11852 STEINK/~P RD SE <br /> <br />PHONE: <br /> <br />PERNIT OR APPLICATION NO: 20690 <br /> <br /> SUPERVISING ELECTRICIAN/NUNBER <br /> <br /> I TEJ~I <br />~SILE H(~E CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QU~NTITY AJ~10UNT <br /> 1 $25,00 <br /> <br /> TOTAL ASSESSED FEES $30.0g <br /> PREVIOUS RECEIPTS $0. O0 <br /> ~ THIS RECEIPT $30.09 <br /> /!~¢¢~,,~,.? / ~j~ ) BALANCE BtJE $0~00 <br /> <br /> RECEIVED BY= DM ____&~-~,, ~ ~ -% ..... TYPE~ CA ~K ~: 0 <br /> <br />~CT[~ OF ~ A PER[~ OF 180 ~, ~ IF ~T[~ FAZ~ TO ~ ALL <br />~ALL <br /> <br />RENARK,S: CONN P~2517 <br /> <br />DONALD E. NOODLE-Y, iVlARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ,, MC I, !:': REV e,8? OFFICE COPY <br /> <br /> <br />