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MARION COUNTY BUILDING INSPECTION <br />SENATOR,BL~G~'NO. 225 <br />220 HIGI~' STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM, - 8:00 A.M, <br /> <br /> Other _ <br /> <br />DATE: 0?/26/89 TIME: 1:38:00p <br /> 0ORAN, TOM <br /> <br />90061-191 <br /> <br /> 955 CHERYL <br />AUMSVI LLE OR 97325 <br /> <br />MA~UNG ADDRESS: <br /> <br />PO BOX t85 <br />SUBLIMITY OR 97385 <br />PH~N~: 769-7384 <br /> <br />3 3 25 <br /> 77 97 <br /> <br />RESIDENTIAL <br /> <br />CONTRACT CITY: UGB: OCCUPANT LOAD: <br />AUfV~3VI LLE NO <br /> <br />SUBDW~$1ON: <br /> <br /> SILDOW <br /> <br /> SITE NUf4~ER: ?680 <br /> VALUATION: <br /> RANGE: ZONE: MAP <br />8S 2w RI 51 <br /> YES NO <br /> <br />TYPE: ELECTRICAL. <br /> <br />CONTRACTOR, NO_ 20?5 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 9?303 <br />PHONE: 393--5559 <br /> <br />PERHIT OR APPLICATION NO: 17682 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> ARLIN E. ADAMSON /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC, INC <br /> <br />QUANTITY AMOUNT <br /> 1 $75,00 <br /> $3,84 <br /> $3.75 <br /> <br />TOTAL A,~SESSED FEES <br />PREVIOUS ,RECEIPTS <br />'PHIS RECEIPT <br /> <br />$82.59 <br /> $0.00 <br />$82.59 <br /> <br />BALANCE DUE $0_00 <br /> <br /> 18780 <br />RECEIVED BY: DM ................ ~¢PE~ OK CHECK ~: 7502 <br /> <br />* THIS IS A VALID PER~IT ~ THIS ,PERN~T EXPIRES 180,DAYS?FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A'PERIOD OF ,180 'DAYS; ORIF CO~STF~CTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE ~ ~D'IvtAFtZO~' COJNTY 8U,[LD~N6 ,AND ZONING ORDIN.aC4OES, THIs PERNIT <br />S~ALL BECOME NULL AND VOID ~:, ; '": ,' ' ' ' <br /> <br />REMARKS: RES R~8958 <br /> <br />0ONALD E. NGODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />RECEIPT NO: <br /> <br /> <br />