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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 AM <br /> <br />I am performing work on a DroDorty I own or occupy <br />I am a registered builder OR f ) the authorized representatiwe SIGNATURE OF APPLICANT <br />OI a reBistered builder,, <br />The work ¢,dl be performed by a reBistered builder <br />Other. <br />I hard road and aBree to tho terms stated on the reverse side of DATE <br />th~$ document <br /> <br />CBVA~E: 12/04/89 TIME: 13:28:56 <br /> <br />SITUS AOOr~ING' THCt'AAS <br /> <br />7571 LITTLE RD <br />AUMSVILLE OR 97325 <br />OF BUtLDtNG <br /> <br />MAILING ADDRESS <br /> <br />SE <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY RESt DENT IAL <br />CONTRACT CITY UG8 OCCUPANT LOAD <br />IEtARION COUNTY NO NO or ~u~ooMs <br />SUBDIVISION <br /> <br /> SAME <br /> <br /> PHONE: 743-2706 SITE NUMBER: 8975 <br />LOT BLOCK SBCTION TOWNSHIP R~/~L-,UAT I ON: : ZONE <br /> <br />wiOifiH OERI~ AREA 3~ UNITS 8B IRREG LOT'~,~ CORNER EFU 51 <br /> 25 ..... AC NO N~ <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />LIMING, THO~S <br /> <br />PHONE: ?43-2?06 <br /> <br />PERMIT OR APPLICATION NO: 20614. <br /> <br /> SUPErViSING ELECTRICIAN/NUrSER <br /> <br /> ITEN <br />C/I SERV 101-200 AHPS <br />FLEET SURCHAF~iE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $70.00 <br /> $3.84 <br /> $3.50 <br /> <br />$77.34 <br /> $o.oo <br />$77.34 <br /> <br />BALANCE DUE <br /> <br />PAYEE: LIMING, THOMAS RECEIPT NO: 2187~ <br /> <br /> RECEIVED 8Y: c] ............ TYPE: CA CHECK ~: 0 <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 1BO DAYS FROM ITS I~TAJE DATE. IF <br />CONSTRUCTION CEA~BB FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />RF-OUIRE~IENTS OF STATE LAg~ AND ~4ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />RErAARKS: 200 ANP SERVICE FOR NEW SHOP, SIGNED AG EXENPT FOR~ R~7992 <br /> <br />DONALD E. NCODLEY, HARION COUNTY BUILDING OFFICIAL / 8Y .......................... <br /> <br /> <br />