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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> ,,.. P.,M 0 N E 588-5147 <br />CODE-A-PHONE 4;30 P M, - 8 O0 A,M <br /> <br />Other. <br /> <br />I ha¥o road and agree to the terms stated on the reverse s~de of <br />this document <br /> <br />gA'~l~-' 11/30/89 <br /> <br /> DOR.~¢4, TOM <br />SHU~ ADDRESS <br /> <br />TIME: 10:39:51 <br /> <br />TAX LOT <br /> <br /> 90040-380 <br /> <br /> 915 8TH <br />AUMSVILLE <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY UGB <br /> <br />AUMSVILLE NO <br /> <br />MAILING ADDRESS <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE; 769-7364 <br /> <br />25 5 25 <br /> ?4 100 7400. <br /> <br />SUBOIVISION <br /> <br /> DELMAR I I I <br /> <br /> SITE NUr¢SER: <br /> VALUATION: <br /> <br />8S IRREG LOT2w <br />SF NO <br /> <br />CATEGORY <br /> <br /> RES l OEN T I AL <br /> <br /> 85t3 <br /> <br /> ZONF MAP <br /> <br />CO~N:nRS 51 <br /> NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />20550 <br /> <br />CONTRACTOR, NO- 20?5 <br />LICENSE NO; <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEN, OREGON 9?303 <br />PHONE: 393-5559 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />ARLIN E. ADAMSON /14795 <br /> <br /> ITEM <br />RES WIRING < 2000 SO FT <br />ELEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $75.00 <br /> $3.84 <br /> $3.75 <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 /> PAYEE; NORTHSIDE ELECTRIC INC RECEIPT NO: 21806 <br /> RECEIVED BY: PB TYPE: CK CHECK ~ ?829 <br /> * THIS IS A VALID PER~IT <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF ODNSTRUCTION FAILS TO NEET ALL <br />REQUIRE~IENTS OF STATE LANS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND <br /> <br />R~RKS; RES R~6346 <br /> <br />DONALD E_ NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />F-OPM Mil OFFICE COPY <br /> <br /> <br />