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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREG©N 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 430 PM - 8 00 AM <br /> <br />Other <br /> <br />BIGNATtJRB OF APPLIC,~,NT <br /> <br /> DATE __ <br /> <br />ow~.~TE: 10/23/89 'TIME; <br /> HUDSON, EDGAR <br /> <br />2:1E:59p <br /> <br />TAX LOT <br /> <br />CONSfRUCTION TYPe <br /> <br /> 980 WASHINGTON ST <br /> AUMSVI LLE <br /> <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br /> CONTRACT C~TY <br /> <br />AU~&Sv 1' LLE <br /> <br />UGB <br /> <br />NO <br /> <br />RE51 DE?,, h l AL <br /> <br />P.O. BOX 723 <br />AUMSVILLE,OR 97325 <br />PHONE: 749-~1831 <br /> <br />LO[ BLOCK SECTION TOWNSHIP <br /> <br />AUMSVILLE ADDITION <br /> <br />6976 <br /> <br />MAP <br /> <br /> ? 5 <br />WIDTH DEPTH <br /> <br /> 25 <br /> ~REA <br /> <br />11 ¢ 7540.00 <br /> <br />SITE NUMBER: <br />VALUATION: <br />RANGE ZONE <br /> <br />2N RM 5 ~ <br />NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />ARROW ELEC <br />1606 OAK ST SE <br />SALEM OR 99301 <br />PHONE: 370-9278 <br /> <br /> PERMIT OR APPLICATION NO: 19785 <br /> <br />34296 SUPERVISING ELECTRICIAN/NUMBER <br /> RICH EVANS <br /> <br /> ITEM <br />TWO OR MORE NE14 CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $30.00 <br /> $3.8~ <br /> $~50 <br /> <br />TOTAL ASSE.f:iSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$35,3~ <br /> $o_oo <br />$35.34 <br /> <br />BALANCE DUE $0.09 <br /> <br />PAYEE: EDGAR HUDSON RECEIPT NO: 20999 <br />RECEIVED BY: DM TYPE: CK CHECK ~: 5448 <br /> <br />* THIS IS A VALID PERNIT * THIS PERMIT S-150 ~:~YS FROM ITS ISSUE- <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQ~JIREt~1ENTS OF STATE LAWS ~D MARION COUNTY BUILDING ~ND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECONE NULL AND VOID. <br /> <br />DONALD E_ <br /> <br />2 CIR R~2425 <br /> <br /> ~E)ODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />REV 13~ OFF!CE COPY <br /> <br /> <br />