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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />01/05/90 TIME: 13:41=18 <br /> <br />' TAX LOTi <br /> <br />occu~cyRE.~I D~NT I AL <br /> <br /> i CONTRACT CtTY: ; UGSl OCCUPANT LOAD: <br /> 15602 A~;~4DT RD NE <br />AURORA OR 970,02 I I <br /> <br />PHONE= 678-2313 <br /> <br /> STTE NUI~ER =. 8565 <br />TOWNSH~P[ ~ ~'~T"~ (~ = : ZONe: MA)=: <br /> <br />AREA: ; UNITS; <br /> <br />No NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CCXNTRACTOR, NO. <br />LICENSENO: <br />JOHN,SON ELECTRIC <br />POBOX~ll <br />AURORA, OREGON <br />PHONE: 651-3101 <br /> <br /> PERMIT OR APPLICATION NO: 21038 <br /> <br />34879 ECJPERMIStNG ELECTRICIAN/NUMBER <br /> <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: THOMAS PATTERSON <br />RECEIVED ElY: I:~ <br /> <br />QUANTITY AF/~JNT <br /> I $100.00 <br /> <br /> 5.00 <br /> <br />TOTAL ASSESSED FEES <br />PR~'-VTOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$112.68 <br /> $8t.18 <br /> $31.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEZPT NO: 22439 <br />: TYPE~:CK CHECK ~: 1008 <br /> <br />~ 7HIS IS A VALID Ft~IiT * 7rli$; ¢~EI~fIT :E)~IRES :180 II~YS :FR(~I ITS iSSlJE DATE. IF <br />C~NSTRIJCTION CEASES FOR A PE'~TOD ~ 190.DA¥S,: OR. ,~F CONS'rRUCTION FAILS TO ~ ALL <br />RE~JIRE~NTS OF ~rATE LAh~ &ND MARION: (Z)UNTY BUILDIN~ AND ZONING ORDINANCES, THIS PE~IT <br />~HALL 8EC(~E NULL ~ VOID. , <br /> <br />REMARKS: 400 ANP PUMPHOUSE R~044i/0462 <br /> ~OODLEY, f4ARION COUNTY BUILDING OFFICIAL / 8Y ~P~ <br />DONALD <br /> E. <br /> <br />rO~M ,, MC ,', ',,, ,~v ~¢.~ OFFICE COPY <br /> <br /> <br />