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MARION COUNTY F~ILDING INSPECTION <br />SEN~-OR B['DG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A,M, <br /> <br />I am ~ feglstered builder OR ( ) the authorized representative <br /> <br />The w6rk will be performed by a registered bdder. <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE; ...... <br /> <br />03/16/90 <br /> <br />BOPCJ~, TCM <br /> <br />TIME: 12:01:06 <br /> <br />90061-441 <br /> <br />RE$IDENTIALF: ~' <br /> <br /> gs0 HAZEL OONYRAOT CITY: UGS: <br />AUMSVI LLE 0R 97325 <br />us~ o~ ~; AUMSVI LL-E NO <br /> <br />OCCUPANT LOADI <br /> <br /> GILDOW'S ADDITION II <br /> PO SOX 185 <br /> EAJBLIMITY OR 97385 <br /> PHONE: 769-7364 SITE NUlV'~3ER: 8532 <br /> <br />LOT: ~LOC~: S~C~I~: ~OW~S~I~: ~A~LUATIC~: zoos; ~: <br /> <br />DEPTH: 5 A~EA: 25 , UNIYS: 8S IRREG, LOT: 2~ CORN~H; ~S <br /> 118 81~0, SF NO NO <br /> <br />51 <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 22523 <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO; <br />NORTHSIDE ELECTRIC INC <br />PO BON 7124 <br />SALEM, OREG~ON 97303 <br />PHONE= 393-5559 <br /> <br />SUPERVISING ELECTRICIAN/NUFSER <br />AR~tN,E. ADAf4SON~1479S <br /> <br /> ITE~ <br />RES HIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />,TOTAL ASSEE~ED FEES: <br />PrE'V,~Oti, i,i,i,i,i,i,i,l~S -RECE[PTS , <br /> <br /> PAYEE: NORTHSIDE ELECT~ <br /> RECEIVED BY: PR <br /> <br /> ~ THIS IS A VALID PEI~4IT <br />C~N~I'RUCTION CEASES A <br /> <br /> AND VOID Ji< <br /> <br /> REMARKS: RBS HIRING <2000 FT R~8544 <br /> <br /> DONALD E. ~OODLEY, NARION <br /> <br /> A~OUNT <br /> <br /> $3~84 <br /> <br /> $82.59 <br /> $0.00 <br /> $82.59 <br /> <br />~:: $0.00 <br /> NO: 23875 <br /> <br />~,~ ItJt.SJE DATE. IF <br /> FAILS TO ~ ALL <br /> ORDINANCES, THIS PERI, IT <br /> <br />Fo.~ ~ ~c I~-s~ ~z~ ,,~e OFFICE COPY <br /> <br /> <br />