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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. ,1~.~- 225 <br />220 HIGH ,~TREE% NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 8?0 8'"'H <br />,~', ,,];v~r:B',/1 L i_ E OR 8 ?' '?,25 <br /> <br />USE OF BUILDING: <br /> <br /> CONTRACT CITY: <br /> <br />.AL:I~ASV'[ LL,,E <br /> <br />UGB: <br /> <br />NO <br /> <br />PO BOX 'l8::)'= <br />;.]`4..I '.'3 L 1' jr1.7 T Y O!.~ 9?385 <br /> '45 ?69-726,4 <br /> <br />LOT: BLOCKI <br /> <br /> 8 ,5, <br />WIDTH: DE.H: <br /> <br /> ?.5 <br /> <br /> SECTION; TOWNSHIP: <br /> <br /> 25 <br /> AREA; UNITS: <br /> <br />95 7 '125,0O <br /> <br />OELtvlAR I I i <br /> <br /> SITE NLI~BER; <br /> VALUATZON: <br /> RANGE; <br /> <br />88 2W <br /> IRREG, LOT: <br /> <br />SF NO <br /> <br />OCCUPANT LOAD~ <br /> <br /> 8335 <br /> <br />ZONEI MAP: <br /> <br /> RS 5 ': <br />CORNER: <br /> <br /> NO <br /> <br />NO OF BEDROOMS: <br /> <br />TYPE: ELECTRICAL PER!vET OR ,,~ .... ALON NO: <br /> <br />18771 <br /> <br />CONTRACTOR, !'40, 28?5 <br />LICENSE NO: <br />NORTHSIDE ELECTR;C :r`4c <br />PO 8OX ? ] 2~ <br />'!~ALEP/I, OREGON 9?303 <br />PHONE: 393--5559 <br /> <br />SUPERVIS ~NG ELECTR l C IAN/NDNSER <br />ARLIN E, ADAI'.,1SON /}4 ~'9,:_'~ <br /> <br /> 'rTEF4 <br />RES ~IRING ,'. ~000 SO FT <br />r'""LEET SURCHARGE --'./.(}hie 3 <br />ELECTRIC~.L STATE ~DRCH, ,RGE <br /> <br />QUANT ! TY AMOUhl ? <br /> $'78,88 <br /> <br /> $3,75 <br /> <br />,TOTAL ASSESSED FEE~ <br />PRE ~OUo ~CE~PT~ <br />f'HZS RECEIPT <br /> <br />~82,59 <br /> $9. CO <br />$82 !:9 <br /> <br /> SALANCE DUE SS.SC <br />PAYEE: NORT~SIOE ELECTRIC !NC RECEIPT NO: 199"2 <br />RECEIVED BY: DN TYRE:, C~ CHECK ~: <br />* THIS IS A VALID PERNZT * !"TH~$,,PE~zT EXPZBES ~80>DAYS;FRON,ITS ISSUE DATE. <br />CONSTRUCTION CEASES FOR A', PB~ZOD,~;OF lB0 DAYS';~OR'IF;'OOfAS%RUCTION FA~LS TO ~EET ALL <br />REQUIRENENTS OF STATE LAI4~ AND,:,N~,,RION COUNTY BUZLDING,'AN~ ZONING ORDINANCES, THIS ~cF'~4!T <br />SHALL 8ECOf'4E NULL AND VOID.' ,,J~',,',',, ' ' '~' <br /> <br />Sr}r,iA/,.0 E PQOD[_ETM, i'AAAI,~N COUNTY 8UILOING OFFiCiAL / 8¥ <br /> <br />~OnM # MC 1~'~6 REV 11/~ OFFICE COPY <br /> <br /> <br />