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MARION COUNTY BUILDING INSPECTION <br /> ¢,ENATOR BLDG NO, 225 <br /> '4220 HIGH STREET NE <br /> SALEM: QREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 RM - 8 O0 A M <br /> <br />Other <br /> <br />°~E: 03/28/90 TINE.* <br /> <br />~ITUS ADD~E(C'~'RTOSZ, RA~iOND <br /> <br />~ ~ 59: 57 TAX LOT C^T£COnY <br /> CONSTRUDTtON TYPE OCCi ipANC/ ~'~ES I OEN'~ [ ~ ~. <br /> <br />97325 <br /> ~RZ~ ~UNTY NO ~o OFR~DROOMS <br /> <br /> SU~D'V,S~O. <br /> <br />10443 H. STAYTON RD <br />AUMSVZLLE, OR 9?325 <br />PHONE: ?49-2059 <br /> <br />SITE NUHBER; 974t <br />~¢¥,ALUATION: zone <br /> <br />NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRAC-FOR~ NO. 45933 <br />LICENSE NO: <br />PACIFIC COAST ELEC-.[NC. <br />P.O. BOX 851 <br />STAYTON, OR 9?383 <br />PHONE: 789~7871 <br /> <br />PEFC4IT OR APPLICATION NO: 22773 <br /> <br /> SUPERVISING ELECTRICI~/NU~BER <br /> LEONARD ~YEF~-5 <br /> <br /> [TEH <br />SERV CHANGE ONLY-FD(ISTING RESIOF6NCE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: R,AYCZK]ND SARTOSZ <br /> <br />QUANTITY AMOUNT <br /> I $30.00 <br /> $3.84 <br /> $1.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$35,3¢ <br /> $0oo <br />$35.34 <br /> <br />BALANCE DUE $0,0(' <br /> <br />RECEIPT NO: 24121 <br /> 3898 <br /> <br /> RECEIVED BY- PR TYPE: CK CHECK ~; <br /> <br />~ THIS IS A VALID PER~4IT ~ THIS PER,lIT EXPIRES 180 DAYS FRO~l ITS ISSUE DATE. IF <br />CONSTRUCTION CEA~ FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAILS TO NEET ALL <br />RE(~DIRENENTS OF STATE LA~S AND f4ARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PERNIT <br />SHALL 8ECOf~E NULL AND VOID. <br /> <br /> XIST RES <br /> <br /> L)CNALD E. WOODLEY, HARION O~3UNTY BUILDING OFFICIAL / B <br /> <br />FORM # U~, 18-56 H~'~ 11.88 OFFICE COPY <br /> <br /> <br />