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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 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />SIGNATURE OF APPLICANT: <br /> gATE; <br /> <br />07/17/90 'f'tME.: 15~0t~45 <br /> <br /> surf'ER, RALPH <br />S~TUS ADDRESS: <br /> <br />~%× LOT: <br /> <br />CONSTRUCTION TYPE; <br /> <br />CATEGORY: <br /> <br />OCCUPANCY. <br /> <br />RESiOEN']IAL <br /> <br /> 865 CLEVELAND $'f <br /> AUCffdVl LLE <br /> <br />USE OF BUILDING: <br /> <br /> CON~RACT CITY; i UGh: <br />OR 97325 <br /> AMMS¥1LLE ~ NO <br /> <br />P.O. BOX 12533 <br />SALEM,OR 97309 <br />PHONE: 588-23?3 <br /> <br />LO~': SLOCK: ' SECTION: r fOWN~HiP: <br /> <br />SUSOIVISION: <br /> <br />AUN~VlLLE MEADOWS <br /> <br />Si'I'E NUMBER: 10231 <br />VALUAT tON .* <br />RANGE: ZONE: <br /> <br />MAP: <br /> <br />2 1 <br /> gEPTH: <br /> <br /> 76 1 O0 <br /> <br />RS <br /> <br />51 <br /> <br />TYPE: ELEC'rR~CAL PERMIT OR APPLICATiON NOt 25685 <br /> <br />DON'T'FACT'©R, NO. 20?5 <br />LICENSE NO: <br />NORT'HBiDE ~LEC'T'RIC INC <br />PO BOX 7124 <br />~ALEM, OREGON 9?303 <br />PHONE: 393-~559 <br /> <br />~!AJPERViSiN6 ELEC'I'RICIAN/NUMBER <br />ARLiN E. ADAJ~5ON /1479S <br /> <br /> II'EM <br />RF~ NIRING < ~OOO SQ Fl' <br />FLEET SURCHARGE ~ZONE 3 <br />ELEC'f'R~CAL Df'ATE F~JRCHARGE <br /> <br />~UAN'T'I'T'¥ AMOUNT <br /> ~ $75,00 <br /> $3.84 <br /> $3_75 <br /> <br /> TOTALA88E~ED FEES $82.59 <br /> .:pREVIO~JSRECEIPTS $0.00 <br /> THIS RECEIPT $82.59 <br /> <br /> BALANCE DOE $0.00 <br /> RAYEE: NOR'FHS~0E ELEO'f'R~OiNC RECEIPT NO: 2?202 <br /> RECEIVED EY: DM2 f'YPE; CK C~ECK g: 8453 <br /> <br />* THiS I5 A VALID PE~IT * :'THIS PEt~IIT EXPIRES 180 ~ F~ ITS I~E DATE. iF <br />~ST~T[~ C~ ~R A ~R~OD,OF 180 ~, OR iF ~ST~CT~ FAi~ TO ~EET ALL <br />~R~T~ OF ~TATE ~:~D ~RI~ ~NTY BUilDiNG ~O Z~ING ORDIN~C~, TH~ PE~IT <br />~ALL BEdE NULL ~D~ID~- <br /> <br />REMARKS; RES R~3618 <br /> <br />OONALQ E. WOODLEY, I",IARION COUNTY BUILDING OF'F'iC~AL / BY <br /> <br /> OFFICE COPY <br />FORM # MO 15-56 REV. 4/90 <br /> <br /> <br />