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SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CQDE-A;~HONE 4::30 P.M - 8::00 AM. <br /> <br />) Other. <br /> <br />SIGNATURE OF APPLICANT <br /> BATE <br /> <br />11/30/89 TIME: <br /> <br />TAX LOT <br /> <br />SITUS ADDRESS <br /> <br /> 90081-391 <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CiTY UGB <br /> <br />AUt~tSVILLE NO <br /> <br /> 955 10TH PL <br /> AUMSVILLE <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br />PO BOX 185 <br />~:¢JBLIMITY OR 9?385 <br />PHONE: ?69-?364 <br /> <br />LOT BLOCK <br /> <br />WIDTH3 DEPTH 5 <br /> 70 116 <br /> <br />GILDO~ II <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br />©CCtJP/* NCY <br /> <br />OCCUPANT LOAD <br /> <br /> SITE NUMBER: 8519 <br />SECTION TOWNSHIP , · ZONE MAP <br /> <br />AREA 25 UNITS 8S I~REG LOT2W CORNER R~ 51 <br /> 8120. SF NO NO <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO. 20?5 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC INC <br />PO 80X 9124 <br />SALEM, OREGON 97303 <br />PHONE: 393-5559 <br /> <br />PEI~IlT OR APPLICATION NO: 20551 <br /> <br /> SUPERVISING ELECTRICIAN/NUIV~ER <br /> ARLIN E. AOAMSC~ /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSiDE ELECTRIC INC <br />RECEIVED BY= P8 <br /> <br />QUANTITY AMOUNT <br /> 1 $?5,00 <br /> ~3.84 <br /> 3.?5 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br /> $0.00 <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 21807 <br />TYPE: CK CHECK ~: ?929 <br /> <br />~ THIS IS A VALID PEf~qIT * ~IS PER,lIT EXPIRES 180 DAYS FRO~I ITS I,%~UE DATE. IF <br />CONSTI:~JCT[~N CEASES ~ A PER[OD OF 180 DAYS, OR IF CONSTRUCTION FA[iS TO MEET ALL <br />P~EQUIRE~ENTS OF STATE ~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />R~RKS: RES R~8346 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />POeM II MC I" ~r RC~ e,8? OFFICE COPY <br /> <br /> <br />