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MARION COUNTY [~UILDING INSPECTION <br />SE['g,.ATOR i[2LDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 A,M, <br /> <br />The work will be performed by a registered <br /> <br />02/14/89 TIME: 4~18:12p <br /> <br />CATEC~ORY <br /> <br />situs ~c~gF' DD,IN I$ <br /> <br />CONSTRUOTION TYP~ 1580--1 g0 <br /> <br />OCCUPANCY RF-~I D~NTIAL <br /> <br /> 13032 8ROOKSIDE DR <br />AURORA OR 97002 <br /> <br /> CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br />MAILING ADDRESS <br /> <br />24755 ~ 8BTH <br />TUALATIN, ORE 97062 <br />F~ONE: 638-8291 <br /> <br /> GRIM ESTATES <br /> <br />SITE NUNSER: 5812 <br />~ATION~ <br /> <br />WIL¥¢I~ ~ DEPYH: A~EA 22 <br /> <br />UNITS 4S IRREG LOT 1["~ CORNER EFU <br /> <br />112 120 13440.0 SF NO NO <br /> <br />TYPE; ELECTRICAL PERNIT OR APPLICATION NO: <br /> <br />13845 <br /> <br />CONTRACTOR, NO. 40994 <br />LICENSE NO: <br />NEEL ELECTRIC, INC <br />8025 BARCELONA DR SE <br />SALEN 97301 <br />PHONE: 399-0370 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />R~S ~IRING < 2000 SQFT <br />FLEET SURCHARGE -ZONE <br />ELECTRICAL STATE SURCHAi~3E <br /> <br />QUANTITY ANOUNT <br /> 1 $75.00 <br /> $7.88 <br /> $3.75 <br /> <br />TOTAL A.q~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$88.43 <br />$74.?8 <br />$11.65 <br /> <br />BALANCE BUR $0.00 <br /> <br />PAYEE: NEEL ELECT~.IC~ INC RECEIPT NO: 14837 <br />RECEIV.~o BY: PR ~'~..~__~=- ..... , ~PE: CK ~ECK ~: 373 <br />* ~IS IS A VALID ~IT * ~IS .PE~IT ~IR~ 1~ ~F~ ITS I~E DA~. IF <br />~ST~CTI~ C~ ~R A PERIOD OF 180 ~YS, OR IF ~CTI~ FAI~ TO ME~ ALL <br />RE~IE~ OF STATE ~ ~D ~RI~ ~ ~I~ING ~D Z~ING ORD~N~C~, ~IS PE~IT <br />~ALL B~S NULL ~D VOID. <br /> <br />REMARKS: RES NIR L~,S. 2000,R~5434 &R'~5458 <br /> <br />DONALD E. NOODLE'F, NARION COUNTY BUILDING OFFICIAL / BY ..~--,-~ ....... <br /> <br />OFFICE COPY <br /> <br /> <br />