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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 925 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />COD~E-A-PHONE 4:30 RM, - 8:00 A,M, <br /> <br />ow~TE: 10/10/89 TIME: 10:50:28~ TAXLOT: <br /> <br /> CI?Y OF AUMSVILLE <br />SITUS ADDRESS: CONSTRUCTION TYPE: <br /> <br /> 125 8TH CONTRACTClf¥; <br />AUNSVI LLE OR 9?225 <br />USE OF SUILDING: AU~VI LLE <br /> <br />UGS: <br /> <br />NO <br /> <br />CATEGORY: <br /> 001¥¢4E RC i A L <br />OOOUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br /> NO O¢ BEDROOMS: <br /> <br />PO BOX 103 <br />AUMSViLLE OR 9?325 <br />PHONE: 749-2189 <br /> <br />WIDTH: DEPTH] <br /> <br />SITE NUMBER: 85?4 <br />RANG~ALUAT ION: ZONE: <br /> <br />NO NO <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTP, ACTOR~ NO. 40298 <br />LICENSE NO. <br />GRI,94OLD ELECTRIC <br />22856 JENNIE RD <br />LYONS, OREGON 97358 <br />PHONE~ 859-2214 <br /> <br />PERMIT OR APPLICATION NO: 19515 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> I~RK S GRISNOLD <br /> <br /> ITEM <br />TNO OR MORE NEW CIRCUIT$~ALT,OR'EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: GRISNOLD ELECTRIC <br />RECEIVED BY: P~ <br /> <br />* THIS IS A VALID PEE~IITI <br />CONSTRUCTION CF_.~ES FOR <br />RE(~IRE~IENTS OF STATE <br />SHALL eECOME NULL N,4D ',/Om.; <br /> <br />RF_.,NARKS: 2 CIR R~6146 <br /> <br />QUANTITY <br /> 1 <br /> <br />TOTAL. A,.c.c.c.c.c.c.c.C~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE CUE <br /> <br />AMOUNT <br /> $30.0O <br /> $3.84 <br /> <br />$35.34 <br /> $o_oo <br />$35.34 <br /> <br />$0.00 <br /> <br />~ECEIPT NO: 20700 <br />CHECK ~: 175 <br /> <br /> ISSUE DATE, IF <br /> FAILS TO MEET ALL <br /> AND!,'~ONIN~ ORDINANCES, THIS PER~IT <br />:,, <br /> <br />DONALD E. NCODLEY, MARION C~NTY.BUILDtNG OFFIQIAL / BY <br /> <br />~o.u ,~ uc ~5-5~, Rm/./~ OFFICE COPY <br /> <br /> <br />