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MARION COUNTY BUILDING INSPECTION <br />~ENAT~.OR BLDG NO 225 <br />220'FfIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P,,M - 8::00 AM <br /> <br />Other . <br />I haYe read a~o the termz ztated on the reverse s~de of <br /> <br /> DATE.- 10/30/89 TINE: 10:25:49a <br />OWNER <br /> TOM DORAN ~STRUCTION <br /> <br />TAX ~ OT <br /> 90061-311 <br />CONSTRUCTION TYPE <br /> <br />RESIDENTIA~ <br /> <br /> 995 HAZEL ST <br />AUNSVILLE OR 9?325 <br /> <br />USE OF BUiLDINO <br /> <br />AUi'c~V I LLE NO <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE~ 769-7364 <br /> <br />LOf BLOCK SECTION <br /> 5 4 <br /> 84 80 <br /> <br />SUBDIVISION <br /> <br /> G'[ LDON ~2 <br /> <br /> SITE NUMBER: 845? <br /> VALUATION: <br /> <br />UNITS IRREG LOT CORNER <br /> SF YES YES <br /> <br />MAp <br /> <br /> 51 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEN, OREGON 9?308 <br />PHONE= 393-5559 <br /> <br />PERMIT OR APPLICATION NO: 19916 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> ARLIN E. ADAMSON /14798 <br /> <br /> ITE~4 <br />RES HIRING < 2000 SQ FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC <br />RECEIVED BY: cl <br /> <br />QUANTITY AMOUNT <br /> 1 $75.00 <br /> $8.84 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.89 <br /> $o,oo <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO= 21144 <br />TYPE= ck CHECK ~: 7?42 <br /> <br />~ THIS IS A VALID I>F-R~IT z THiS PEE~4IT EXPIRES lB0 DAYS FROM IT~ ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEier ALL <br />REQUIREI~ENTS OF STATE LAN~ AND r~ARION CCUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />HALL 8EC(~4E NULL AND VOID. <br /> <br />RS"4ARF~: r~ r~?g03 <br /> <br />DONALD E. NOODLEY, IvtARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />