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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH S~T. REET NE <br /> SALE.~ OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4::30 PM - 6::00 A M <br /> <br />DATE: 02/16/89 TIME: 3:31:05p <br /> DICKER;SON, BETTY <br /> <br />SIGNATURE OF APPLICAN~ ~'~,¢ <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CiTY UG8 <br />fvlAR I ON COUNTY NO <br /> <br /> 11936 BELDEN DR SE <br />AUMSVILLE OR 99392 <br /> <br />PO BOX 64 <br />WEST STAYTON, OR. <br />PHONE: ?69-5020 <br /> <br />97325 <br /> <br />LOT SLOCK SECTION <br /> <br />RESIDENTIAL <br /> <br />SITE NUMBER: 65?0 <br />VALUAT I ON: <br /> <br />8.80000 AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />OICKERSON, BETTY <br />F<) BOX 64 <br />NEST STAYTON, OR. <br />PHONE: 769-8030 <br /> <br />,.._LICCTION NO: 14045 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />C/I SERV TO 100 AMPS <br />FLEET SURCHARGE -ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br />~'~~~ OUANTITY AMOUNT <br /> 1 $45.00 <br /> <br /> $2.25 <br /> <br />PAYEE: DICKERSON, BETTY <br />RECEIVED BY: >o,c< <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$49.81 <br /> $o.oo <br />$49.81 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO; 14886 <br /> TYPEs CK CHECK ~; 1378 <br /> <br />* THIS IS A VALIB PERMIT * THIS PERNIT EXPIRES 180 DAYS FROf4 ITS LS,SUE DATE. IF <br />CONSTRUCTION CF_.~E~ FOR A PERIOD OF 180 BAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LAW~ AND MARION (~NTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BEOONE NULL AND VOID. <br /> <br />REMARKS: 100 AMP GREENHOUSE R~6795 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL ~'8Y <br /> <br />FonM # MC I~ H~V Il'e" OFFICE COPY <br /> <br /> <br />