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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: 588-0147 8:00 - <br />2!4 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br /> <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this docuro~nt. <br /> <br /> DATE: 12/05/92 <br />OWNER; <br /> <br /> OSLIE, STEVE <br />S)TU$ ADDRESS; <br /> <br /> 655 4TH ST <br /> AgMSVILLE <br /> <br />USE OF BUILDING: <br /> <br />MAILING ADDRESS: <br /> <br />P.O. BOX 577 <br />AUHSVILLE <br />PHONE; 749-12~0 <br /> <br />TINE; 12;18:5¢ <br /> <br />LOW: <br /> <br />OR 975~5 iAUMSVILL, E : NO <br /> <br />80 <br /> <br />; SU BDfVISION: <br /> <br />LUCAS ADDI~iON <br /> <br /> SITE NUMBER: 92-0408~ <br /> VALUATION: <br /> <br />3ECTION: ..................... T~WNSHIP; 'I ..... ~ANI2~: ' ' ~ ' ' ...... , ZONE: :MAR; <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 44045 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />OSLIE, STEVE <br />P.O. SOX S'77 <br />AUHSVILLE <br />PI-lONE: 749-1290 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM QUANTITY AMOUNT <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - ~ST CIRCUIT I $~5.00 <br />BRANCH CIRCUIT. W~THOUT SERVICE OR FEEDER ~ACH ADDITIONAL 2 $4.00 <br />ELECTRICAL STATE ~URCHARGE $1.95 <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$40_95 <br /> $0.00 <br /> <br />BALANCE OUR $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVEO BY: PB ...................................... TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERHIT · THIS PERMIT EXPIRES [80 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF ~80 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AHO VOID. <br /> <br />REMARKS: 5 <br /> <br />DONALD E_ WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY .................. <br /> <br /> OFFICECOPY <br />FORM ~ MC 15.56 R~. 4/90 <br /> <br /> <br />