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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH ST,t~EET NE <br /> SALEM';' OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 AM <br /> <br />I have read and ag¢oo to the terms ststed on tl~o reverse side of <br /> <br />03/30/90 TIME: <br />DI CK~4AN, NEIL <br /> <br />'IAX LOT <br /> <br />¢ONSTRUGTION TYPE <br /> <br /> 9948 STAYTON RD SE <br />AUf4SVILLE OR 97325 <br /> <br />MARION COUNTY <br /> <br />MAILING ADDRESS <br /> <br />SANE <br /> <br /> PHONE: 769-5488 <br /> <br />LOT BLDDK <br /> <br />SITE NU~4BER = <br /> VALUATiON: <br /> <br /> NO <br /> <br />UGB <br /> <br /> NO <br /> <br />RESIDENTIAL <br /> <br /> 9775 <br /> <br />NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />22900 <br /> <br />CONTRACTOR, NO. 58969 <br />LICENSE NO: <br />W.CRAWFORD ELECTRICAL CONTROLS <br />PO BOX 645 <br />STAYT~N. OREGON 97383 <br /> PHONE. 769-9451 <br /> <br />SUPERVISING ELECTRICIAN/NUFSER <br />WILLIAN CRAWFORD 2720-S <br /> <br /> ITB4 <br />SERV CHANGE ONLY-EXISTING RESIDENCE <br />FLEET SUR~HAF~E -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />OUANTITY AJ~OUNT <br /> 1 $30+00 <br /> $5.12 <br /> $1.5o <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$36.62 <br /> $o.oo <br />$3S.62 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: N,CRANFORD ELECTRICAL CONTROLS RECEIPT NO: 24264 <br /> RECEIVED BY: PR TYPE: CK CHECK ~:: 288 <br /> * THIS I~ A VALID PER~IT ~ ]~IIS PE~IT EXPIRES 180 DAYS FR~ ][T~ I~~JE DATE. iF <br />CiJNSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF C(~STRIJCTION FAILS TO NIBET ALL <br /> OF STATE ~ AND le, ARIC~I OOUNTY BUILDING AND ZONING ORDINANCES. THIS PERNIT <br /> <br />RFJ4ARKS: SERV CHG FOR EXIST RES R¢¢~6605 <br /> <br />DONALD E. ~DODLEY, r4ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />O,-F <br /> <br /> <br />