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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 />I am ,a,..re?ist,~red bulmer OR the authorized representative <br />Other. <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> LATe: 02/18/95 /'IHE: i. 6:0Zf:4? <br />OWNER <br /> <br /> LUSAS, REX (ATKINS TI,iFC[FTUhY tl)ELI <br />SITUS ADDRESS <br /> <br />TAX LOT: <br /> <br /> 2±5~1.763 <br />CONSTRUCTION YYPE <br /> <br /> 30 NTRACT CITY UGB <br /> 2t0 MAIN S1' -- <br /> AUMSVILLE OR 97325 AUMCVILLE WO <br />USE OF ECUILDING: <br /> <br />LOT: <br /> <br />BOX 210 <br />AUMSVILLE SITE NUMBER: 95-00658 <br />PIIONE: 749-.2,576 VALUATION: <br /> <br /> BLOCK: SECTION TOWNSHIP: RANGE. ZONE: <br /> <br />WIDTH: <br /> <br />DEPTH: AREA: UNITS: IRREG, LOT; <br /> NO <br /> <br />CATEGORY: <br /> <br />OCCUPANCY <br /> <br />OCCUPANT IOA~' <br /> <br />NO OF BEDROOMS: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 45417 <br /> <br />CONTRACTOR,, NO. 63693 <br />LICENSE <br /> SECURITY SIGNS INS <br />436 SE J. 2'TG AVE <br />PORTLAND, 972]4 <br />PHONE: <br /> <br />SUI~ERVISiNG c[..cCTRICIAN/NUifi~II <br /> <br /> I 't-EM <br />SIGN OF OUTLINE LIGHTING <br />ELECTRICAL STATE SURCHARGE <br /> <br />Q U A N T [ l' Y ¢! M 00 N r <br /> $ ;?. 00 <br /> <br />I'OTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />'fNIS RECEIPT <br /> <br />$ 42 - {)() <br /> SLJ. 00 <br /> <br />BALANCE DUE $ ,~ <br /> <br />PAYEE: ,ECURI1Y SIGNS INS <br /> ~ ~ RECEIPT NO' 47599 <br />RECEIVEO E:,Y: Id ~4¢._¢2~._,__ TYPE: CK CI"II:CK ~:; 2505L <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS ERON ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF [80 DAYS, OR IF CONSTRUCTION FAILS TO MEE~ ALL <br />REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~IT <br />SHALL BECOME NULL AND ¥OlO. <br /> <br />R~;:iiARKB: STOI;~EFRONI' SIGN <br /> <br />OON¢IL.[) E_ U[}OOL~Y~ NARION COUNTY BUILDING OFFICIAL <br /> <br /> OFFICE COPY <br />FORM ¢/MO 15-d6 REV, <br /> <br /> <br />