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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2';)5 <br />2';'0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M, <br /> <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other. <br /> <br />DATE ~-h I ~q~?~/8 ? TI~: 2: 42: 40p <br /> <br />OWNE.: SANDSTRUM, EDGAR J, <br /> <br /> R <br />TAX LOT; CATEGORY: <br /> <br /> 5577 DUMORE DR <br />AUMSVILLE <br /> <br />O~ 97325 <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY; <br /> <br />OCCUPANT LOAD: <br /> <br />364-6731 <br /> <br />SITE I'~,,II~ER: 1107 <br /> VALUATION: , <br /> <br />LOT: BLOCK: <br /> <br />MAP; <br /> <br />WIDTH: DEPTH: <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: -0- <br /> <br />~40 OR NDRE NEW CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURC~IARGE <br /> <br />i 820.00 <br /> $3.84 <br /> 80.80 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS REOEIPTS <br />THIS RECEIPT <br /> <br />824.64 <br /> $o.oo <br />824.64 <br /> <br />BALANUEDUE $0.00 <br /> <br />PAYEE: SANDSTRUM, EDGAR J. ~ /'~ ~ . RECEIPT NO: 2119 <br />~ECEIVED BY: Ct, ~A~ ~.)L~ TYP~. OK CHE~K #: 1077 <br /> <br />* ~S IS ~ A ~T. ~S ~ ~( ~ A ~~S ~ ~ <br />~ ~ ~ ~i'~. IT IS ~ ~ ~I~ ~ ~ ~T <br /> <br />PLAN REVIgW: BY <br /> <br />BY DATE <br /> <br />OFFICE COPY <br /> <br /> <br />