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Permit - 1269392
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Permit - 1269392
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Last modified
2/9/2011 9:22:50 AM
Creation date
9/2/2003 4:06:11 PM
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Template:
Permits
Permit Address
910 9TH ST
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
7883
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 2~25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 8 00 AM <br /> <br />I am performing work on apropocty I owt~ or occupy ~' <br />I am a registered builder OR f / the authorize~epres~ntative <br />of a reOlstorod builder <br />The work will bo porformed by a regmtered budder <br />Other <br />I naYe road and agree to the terms stated on the reverse e~de of <br /> <br />ow~TE: 08/2'[/89 <br /> <br /> BUTTER, <br />8~TUS ADDRESS <br /> <br />2:53:26p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />90040-170 <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 910 9TH ST <br />b~I,~VZ LLE <br /> <br />OR 9?325 <br /> <br /> CONTRACT CITY <br /> <br />AUMSVILLE <br /> <br />UGB <br /> <br />NO <br /> <br />OOOUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />PO 8OX 12533 <br />S4LEM OR 97309 <br />PHONE: 598-~373 <br /> <br />SUBDIVISION <br /> <br />DEL MAR ~3 <br /> <br />SITE NUMBER; <br />VALUAT ION: <br />RAN(~E ZONE <br /> <br />~883 <br /> <br />MAP <br /> <br />4 D~PTH 5 Ag~A 25 UNITS 8S <br /> 74 f 00 ?4,00. 00 SF <br /> <br /> CORNEN <br /> <br />NO <br /> <br /> RS <br /> <br />NO <br /> <br />51 <br /> <br />TYPE; ELEC'TR,ICAL PERMIT OR APPL;ECATION NO: <br /> <br />182'~5 <br /> <br />CONTRACTOR, NO, 9075 <br />LICENSE NO, <br />NORTHSIDE ELECTRIC INC <br />PG 8OX ? 124 <br />SALEM, OREGON 97303 <br />~I,~ONE: 393,.,5559 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />ARLIN E. ADAMSON /14795 <br /> <br /> ITEM <br />~ES ~IRING < 9000 ~ FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANT ~ TY 4MOUN T <br /> $75.90 <br /> <br /> 3,?5 <br /> <br />TOTAL ASSESSED FEES <br />PR,E¥IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82,59 <br /> $o.oo <br /> <br />BALANCE DUE $0 00 <br /> <br />PAYEE: hORIH.m. IDE ELEC'fRIC INC R~CEIP7 NO: 19389 <br />REr'SE,[VED BY: XXX TYPE.' OK CHECK ~: 7571 <br /> <br />* THIS IS A VALID PER,lIT · THIS PERMIT EXPIRES 180 DAYS FROM ITS IS.SUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEB1- ALL <br />REQOIRE. NENTS OF STATE LA~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERNtT <br />SHALL 8ECONE NULL AND VOID.' <br /> <br />R:EM,,'.,RKS: RES R~7943 <br /> <br />OONALO E. ~NO()DLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o~ # Mc ,s-~e ~ev II,e8 OFF[CE COPY <br /> <br /> <br />
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