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MARION COUNTY BUILDING INSPECTION <br />SENATOR E~ZOG. NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4'30 PM - 800 AM <br /> <br />DATE: 07/06/89 TINE.' 4:35:16p <br /> <br /> 845 9Tld ST <br />AUMSVI LLE OR 9?325 <br /> <br /> SIGNATURE OF APPLICANT <br /> <br /> DATE ,, <br /> <br /> TAD< [,CT <br /> 9'0040-100 <br /> <br />CON~TRCC'i"ION TYPE <br />AUIvE, V I LLE NO <br /> <br />CAT~GO~Y RESIDENTIAL <br />OCCUPANCY <br /> <br />P.O. 80X 185 <br />~UBLIMITY, OR 97385 <br />PHONE: 759-7384 <br /> <br /> 11 4- <br /> 75 <br /> <br />97 7275.00 SF <br /> <br />DEL MAR t I I <br /> <br /> SITE NUMBER: 7215 <br /> VALUATION: <br /> <br />RANGE ZONE <br /> NO NO <br /> <br />MAP <br /> <br /> 51 <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION <br /> <br />17291 <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO-' <br />NORTH$IDE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 97303 <br />PHONE; 393-5559 <br /> <br />SUPERVISING ELECTRICIAN/NUMbER <br />ARLIN E. ADAh'C:50N /1479S <br /> <br /> ITEM <br />RES iNIRIN6 < 2000 FT <br />FLEET SURCHARGE-ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QUANT I TY At',K)UN T <br /> ' $75 <br />.... ~ , ::: I .OO <br /> $2.58 <br /> ,, .~. , ~,,':~: ~. $3.75 <br /> <br /> TOTAL ,ASSESSED' FEE~ <br />' ,PREVIOUS RECEIPTS <br /> "TH IS' RECEIPT <br /> <br />~81.31 <br /> 81.31 <br /> $0.00 <br /> <br />.... ~B,..~ $o.oo <br /> <br />4:>AYEE.: ~ ...~. RECEIPT NO: <br />RECEIVED 87-' cl TYPEt CHECK ~: <br /> <br />C~N~TI~JCTION CE~ f~ .A~,PERIODi~OF ?~80 ,D~YS~,,,OR~ [F,,CON~RUCTION FAI~ TO ME~ ~ <br /> ~I~ ~ ~ATE ~ ~~u.~ ~I~I~ ~ ~G ORDIN~C~ ~IS ~IT <br /> <br />REMARKS: RES ~IRING <2000 FT f~¢2055' <br /> <br />DONALD E. WKDODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />