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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9"/301 <br /> <br /> ¢ PHeW)NE 588-5147 <br />CODE-A-PHONE 4::30 P.M - 8::00 AM. <br /> <br />DATE <br /> <br />11/09/89 <br /> <br />DOP..AN, TODI <br /> <br />TIME: 2:54:57p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />90051-281 <br /> <br /> CONTRACT CITY <br />935 HAZEL <br />AUI~LSVILLE OR 97325 <br />USEOFUU~LDINe AUMSViLLE NO <br /> <br />SUBDIVISION <br /> <br /> GI L[X~ II <br /> <br /> RES I DENT I AL. <br />O~,CUPANCY <br /> <br /> PO BOX 185 <br /> SUBLIMITY OR 97385 <br /> PHONE: 769-?364 SITE NUIVlSER: 85tl <br /> VALUATION: <br />LOT BLOCK SECTION TOWNSHIP RANGF ZONE MAP <br /> <br />WIDTH 2 DEPTH S AREA 25 WN~TS 9S IHRSG LOT 2W CORNER ~;~ 5~ <br /> <br /> 77 97 7489.90 SF NO NO <br /> <br />'rYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NOt <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 9?303 <br />PHONE: 393-5559 <br /> <br />PERMIT OR APPLICATION NO: 20187 <br /> <br /> SUPERVISING ELECTRiCIAN/NUMBER <br /> ARLIN E. ADAMSON /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SQFT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC <br />RECEIVEB BY; P8 <br /> <br />QUANTITY AMOUNT <br /> 1 $75.00 <br /> $3.84 <br /> $2.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br /> $o.oo <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 21405 <br />TYPE: CK CHECK ~: ?772 <br /> <br />* THIS IS A VALI6 ~; ~'~-~[~M EXPIRE~ 180 DAY~ FROM ITS ISSUE DATE. <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REOJIRED1ENTS OF STATE LAk~ AND MARION CCUNTY BUILDIN6 AND ZONING ORDINANCES, THIS PEF~IT <br />S. ALL ,ECO~E NULL AND YOm. <br /> <br />REMARKS: RES R~t6263 ~' <br /> <br /> ONA,O E. OODLEY. ,RION OO NTY ILDIN OE ICIAL / ,Y ...... ............. <br /> <br />OFFICE COPY <br /> <br /> <br />