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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 /> <br /> Ii am performing work on a property I own or <br /> <br />) Other <br /> <br />DATE= 11/15/88 TItlE: <br /> <br /> 13032 8ROOKSIDE DR <br /> <br />2~755 ~ <br />TUALATZN, ORE 97062 <br />~E: 638-8291 <br /> <br />T,~X LOT ? 1680~ 190 : ~AT~GORY I <br /> RESIDENTIAL <br /> <br />OONSTRtJcT~ON ~'¥~E <br /> <br />;occUPANCY <br /> <br />~0~TRACT Ci~ I'UGB 'OCCUPANT LOAD <br />MARION COUNTY NO <br /> <br />................. S U ~DiVjSJ~i~ <br /> <br />GRIN ~TATES <br /> <br />ELECTRICAL PERNIT OR APPLICATION NO: <br /> <br /> SITE NUMBER: 5812 <br /> VALUATION: <br /> <br /> 22 4S 1W EFU 5 <br /> 12458 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />~OLF, DENNIS <br />24755 SN 65TH <br />TUALATIN, ORE 9?062 <br />PHONE~ 638-8291 <br /> <br />TE~P CONSTR SERVIC~ <br />FLEET ECJ~CHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />SUPEK%'ISING ELEOTRICIAN/NUf4BER <br /> <br />(~JA~4TITY AMOUNT <br /> 1 $20,00 <br /> ~7,88 <br /> 1,00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS IRECEI~TS <br />THI~ RECEIPT <br /> <br />$28.68 <br /> $0.00 <br />$28.68 <br /> <br />'BALANCE DUE $0.00 <br /> <br />PAYEEt WOLF, DENNIS RECEIPT NO: 13268, <br />RECEIVED BY*- CL ~ , , ,, , TYPE: CK ,,CHECK ~: 288 <br /> <br />· THIS IS A VALID PER,lIT * THIS P~ER~IT E~PiRE~ 180 DAYS FRD~ ITS I~8UE DATE. IF <br />~LL BE~ NULL ~D <br /> <br />REHARKS: TEHP R~tssg4 <br /> <br />DONALD E. NOODLEY, NARION COUNTY BUILDING OFFICIAL <br /> <br />FORM # MC 1~-56 RE~ eCe-, OFFICE COPY <br /> <br /> <br />