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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'PHONE430RM -8::00AM// - <br /> <br />OwN~TE: 04/12/90 TIME: 8:30:01 <br /> <br /> S & B BUILDING INSP. <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />19598 GOOSE LAKE DR NE CONT~*¢TO~T~ UOe <br />AURORA OR 0?002 <br />USEOFBU ~'N~ MARION COUNTY NO <br /> <br />REB~ DENTIACI <br /> <br /> PENNY <br /> 8045 SUNNYSIDE RD SE SALEM 9?306 <br /> PHONE: 364-6629 SITE NUNBER: 88?6 <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE VALUAT I ON <br /> <br />NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />S & 8 BUILDING INSP. <br />PENNY SEEM <br />8045 SUNNYSIDE RD SE SALEM 9930 <br /> <br />PHONE: 364-6629 <br /> <br />PEP, NIT OR APPLICATION NO: 23160 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> 1 <br /> <br />AIv~UNT <br /> $25.00 <br /> <br /> ITEM <br />ADDITIONAL ELECTRICAL FEES <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: S & B BUILDING INSP. <br /> <br />$33.93 <br /> $0_00 <br />$33.93 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br /> <br /> 24552 <br /> RECEIVED 8Y= DM2 TYPE; CK CHECK ~: 1364 <br /> <br />* THIS IS A VALID PERMIT * THIs PERMIT EXPIRES 180 DAYS FROM ITS IS..?~E DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IP CONSTRUCT,ON FAILS TO MEET ALL <br /> <br />SHALL BECOME <br /> NULL AND VOID. <br /> <br />RFJviARKS: RE-CONNECT POWER R~3248 <br /> <br />DONALD E. NOODLEY, MARION COUN]5' BUILDING OFFICIAL / BY <br /> <br />FORM ~ M(;15-58 nEV ti,u8 OFFICE COPY <br /> <br /> <br />