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MARION COUNTY BUILDING INSPECTION <br />S~.~_.JATOI~BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM, - 8:00 A,M, <br /> <br />'~' '" ' TOM <br /> <br />90040-340 <br /> <br />DEN T :[ AL <br /> <br /> 875 8TH ST <br />AUMSVI LLE OR 97325 <br /> <br /> CONTRACT CITY: <br /> <br />AU~VlSV I LLE <br /> <br />NO <br /> <br /> PO SOX 185 <br /> &~JBLIMITY OR 97395 <br /> PHONE: 769.,-7364 <br />LOT: ~LOCK: <br /> <br />?5 100 <br /> <br />^RSA: 25 UN~TS: 89 <br /> 7590.00 SF <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />18532 <br /> <br />CONTRACTOR, NO- 2075 <br />LICENSE NO: <br />NOR'FHSIOE ELECTR.[C INC <br />PO SOX 7124 <br />SALEN, OREGON 9?303 <br />PHONE~ 393.¢5559 <br /> <br />SUPERVISING ELECFRiCI,.N/NUMSER <br />ARL~N E. ADAMSON /14799 <br /> <br /> iTEM <br />RES ~IRING < 2000 SQ FT <br />FLEET SURCHARGE ~ZONE 9 <br />ELECTRICAL STATE ~RCHARGE <br /> <br />QUANTITY AM(2,.JNT <br /> ~ $7E.0~ <br /> $3.~4 <br /> $3.¢9 <br /> <br />TOTAL ASSESSED =EES <br />bREV!OUS RECEIPTS <br />THIS RECEIPT <br /> <br />$O.,.,C <br /> <br />BALANCE DUE ~'0.,.,.~¢' <br /> <br />FAYEE: NORTHSIDE ELECTRIC INC RECEIPT NO: <br />R~CEIVEO 9Y: m~ TYPE: CK CH~CK ~: 7590 <br /> <br />* THIS IS A VALID PERMIT · ,~THIS 'PERMIT EXpIRES'.IS0;OA~ F,,~R~ ITS ISSUE bATE. IF <br />CONSTRUCTION CF_ASES FOR A PEEI.OD~.:OF. 1~0 DAYS, OR IF ~T~CTI~ FAILS TO ME~ ALL <br />R~IR~TS OF STAT~ ~ AND,~RI~'-~N~'8UILOING'~D [~ING ORDIN~C~, THIS PE~[T <br />~ALL BEdE NULL AND VOID. ' ' ' <br /> <br />REIvlARKS: RES NIRING R~2252 <br /> <br />-,")NAI_D E, NOODLEY, IvIARION COUNTY BUILDING OF¢ZCiAL / BY <br /> <br />FORM · MC 15-5~ ~V 11/8~ OFFICE COPY <br /> <br /> <br />