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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br />'~3ALEM OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P.M - 8 00 A.M <br /> <br />of a reg,stered builder <br />The work will be performed by a registered builder <br /> <br /> this document <br /> <br />DATE: 06/07/89 TIME: <br /> <br /> DORAN. TOM <br /> <br />SITUS ADDRESS <br /> <br />90040-280 <br /> <br />CATEGORY <br /> RESIDENTIAL <br /> <br /> 815 8TH ST <br />AU~VILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />CONTRACT CITY UGB <br />AUMSVILLE NO <br /> <br />P.O. BOX 185 <br />SU8LIMITY, OR 97385 <br />PHONE: 769-7364 <br /> <br />LO'I BLOCK SECTION <br /> 79 79 <br /> <br /> SITE NUI¥SER: 7208 <br /> VALUATION: <br /> <br /> TOWNSHI~ RANGE ZONE <br /> 25 88 2N ~ <br /> UNITS IRREG LOT GORNER <br />6241.00 SF NO NO <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO= <br />NORTHSIOE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 97303 <br />PHCNE: 393-5659 <br /> <br />PERNIT OR APPLICATION NO: 16553 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> ARLIN E. ADAMSON /147gs <br /> <br /> ITEM <br />RF_.~ HIRING < 2000 SQ FT <br />FLEET SURCHARGE-ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC ' <br /> <br />QUANTITY AMOUNT <br /> 1 $?5.00 <br /> $3.84 <br /> $3.75 <br /> <br />TOTAL ASSESSED EEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br /> $o.oo <br />$82.59 <br /> <br />:BALANCEDUE $0.00 <br /> <br />RECEIPT NO: 17610 <br /> <br />RECEIVED BY: c] TYPE; ~CK C~ECK ~: 7374 <br /> <br />;~ THIS IS A VALID PERNiT ~ 'THIS PER~IT <br />~CTION CEASES FOR A:.PE~IOO .OF-~.80 DAY~.,.'~,OR .IF.~CONSTRUCTION FAILS TO t4EET ALL <br />RE~UIREME~ ,OF ~TATE l.~ ~O:.,~,,,, ~I,.,~t,l,, OSUNTy"' iIBIJILDING,,AND ZONING ORDINANCES,. THIS P~IT <br />SH~L BECk,NULL AND VOID. ', <br /> <br />RFJYARKS: RE;S R~7105 <br /> <br />DONALD E. NOODLEY, NARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFF[C~ COPY <br /> <br /> <br />