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MARION COUN'r~ BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />Other <br /> <br />SI(tNATURE OF APPLICANT <br /> <br />06/07/89 <br /> <br />BORAN, TOM <br /> <br />TIME: 2:58:$5p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />90040-240 <br /> <br />CATEGOR/ <br /> <br />OCCUPANCY <br /> <br /> 840 9TH ST <br /> AU~VI LLE <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT C~TY <br /> <br />AUMSVILLE <br /> <br />NO <br /> <br />RESIDENTIAL <br /> <br />MAILING ADDRESS <br /> <br /> P.O. 80X 185 <br /> ..qUSLIMITY. OR 97385 <br /> PHONE: ?59-?,$64 <br />LOT BLOCK <br /> <br /> DEL 1'4AR I I I <br /> <br />SITE NUMBER: 7208 <br />RANG~/ALUATION: ZONE <br /> <br />C/lOTH DEPTH AREA 25 UNITS <br /> 75 100 <br /> <br />8S IRR~G LOT 2~,~ COR.~H RS 51 <br /> NO NO <br /> <br />TYPE: ELECTRICAL PEP, NIT OR APPLICATION NO** <br /> <br />16548 <br /> <br />CONTRACTOR, NO. 20?5 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC INS <br />PO BOX 7124 <br />SALEM, OREGON 97303 <br />PHONE: 893-5559 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />ARLIN E. ADAMSON /1479S <br /> <br /> ITEM <br />RES MIRING < 2000 SQ FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMO~dNT <br /> 1 $75.00 <br /> $3+84 <br /> $3.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: NORTHSIDE ELECTRIC INS RECEIPT NO.+ 17605 <br />RECEIVED BY= c~l TYPE,= OK CHECK ~: ?574 <br /> <br />~ THIS I8: A VALID PER~4IT '~ , T1'I][SCPEEI~IIT EXPIRES 180¥OAYS FROI~ [TS I.~.~UE DATE. IF <br />C~]I~'~'I4UCTION ~ FOR ,A,' PE~I,OD;;,OF :'180 DAY~.,,,,OR,IF ,CONSTRUCTION, FAI~ TO MEET ALL <br />~A~RI~4ENTS OF STATE ~, AND. I~M~IQN, COUNTY, IBUILDINI~, AND:>ZONING OI~DTNANCES. THIS PERt4IT <br /> R~ NULL AND VOID. ,'~ ; , <br /> <br />REIvt~RKS: RES <br /> <br /> <br />