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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 />CODE-A-PHONE 4:30 P.M. ~ 8i00 A.M, <br /> <br /> I am a r~,~2istered builder OR ) the authorized represen ave <br /> <br /> DATE: 04/21/87 TIME: 12;28:36p <br /> <br />OWNER: SANDSTRLIM, EDGAR J. <br /> <br />' CATEGORY; <br /> <br />SITUS ADDRESS: <br /> <br /> 5577 DUMORE DR <br /> ,AU~.SV I LL~ <br /> <br />USE Of BUILDING; <br /> <br />MAILING ADDRESS: <br /> <br /> SAME <br /> <br />OR <br /> <br /> ' CONSTRUCTION TYPE: <br /> SE <br />9?325 ' coNT~6T ~lfVl : UGB: <br /> <br />ONE AND TWO FAMILY DNELLINGS <br /> <br />OCCUPANT LOAD: <br /> <br /> PHONE: 364-6731 SITE NUMBER.* 1107 <br /> VALUATION.- <br /> <br />LOT; 8LOCK: ~ECTION: TOWNSHIP: RANGE: ZONE: MAP; <br /> '13 8S 2N AR3 <br /> <br /> f~PE: E~AL PE~IT 0R'~FPLiCATi~ NO: 1629 <br /> <br /> CONTRACTOR, NO. ~PE~ISING ELECTRICIAN~U~ER <br /> LZC~SE <br /> S~I~T~N, E~AR J. <br /> SA~E <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />PHONE: 364-5731 <br /> <br /> ITEM <br />TWO OR MORE NE~ CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $20_00 <br /> ~3.84 <br /> 0.@0 <br /> <br />$24.64 <br />$24.64 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PB TYPE: CHECK ~: <br /> <br />* THIS IS A VALID PERMIT * THIS DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD FAITM TO MEET ALL <br />REQUIRENENT~OF STATE LAMS AND ,ZONING ORDINANCES. THIS PERMIT <br />~iALL BECOME NULL ANDVOID. <br /> <br />REI"'IARKS: ELEC 4524 <br />OONAL. D E- NOODLEY, <br /> <br />OFFICE COPY <br /> <br /> <br />