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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. - 8:00 A.M. <br /> <br />of a registered builder, <br />The work will be pedormed by a registered builder· <br />Other <br /> <br /> DATE: 04/24/87 TIME; 10:18:02a <br />OWNER'. <br /> THOMPSON, DAVID <br /> <br />TAX t_0T; <br /> 58362-,000 <br /> <br />CONSTRUCTION TYPB: <br /> <br />i CATEGORY: <br /> <br />· 0~OU PANDY: <br /> <br />R <br /> <br /> 8501 HOLMQU!ST ROAD SE <br />AUMSV!LLE OR 9?325 <br /> <br />[ OoN+RAc¥ ~iT¥1 UGB: <br /> <br />O~CU PANT LOAD; <br /> <br /> ' NO OF ~EDROOM8: <br /> <br />MAILING ADDREBBI <br /> <br />PO 80X 182 <br />STAYTON, OREGON 9?983 <br />PHONE: NONE <br /> <br />LOT: ' BLOCK: SECTION: <br /> <br /> SITE NUMBER= 1120 <br /> 'VALUATION: <br /> fOWNSHiP,. RANGE: ZONE: MAP: <br />3! 8S 1W AR <br /> <br />TYPE: ELECTRZCAL <br /> <br />48 <br /> <br /> I. 50000 AC Y N <br /> <br />PERI'4IT OR APPLICATION NO'; 1685' <br /> <br />CONTP~ACTOR, NO, <br />LICENSE NO: <br />THOMPSON, DAVID <br />PO BOX 782 <br />STAYTON, OREGON 9?383 <br />PHONE.' NONE <br /> <br /> ITEM <br />MOBILE HOME SPACE ¢SVC EQUIP) <br />MOBILE HOME CONNECTION <br />FLEET SURCHARGE ~-ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />0UANT i TY AMOUNT <br />1 $20_00 <br />1 $20-00 <br /> <br />PAYEE: <br />RECEIVED BYt P8 <br /> <br />$45.44. <br /> <br />BALANCE DUE $0.00 <br /> <br />TH] <br /> <br /> RECEIPT NOt <br />TYPE: CHECK <br /> <br />FROM ITS ISSUE DATE. <br /> <br /> IF <br />FAIN TO MEET ALL <br />ZONING ORDINANC[gS, li-tI$ PER,lIT <br /> <br />* THIS IS A VALID PEEt4IT * <br />CONSTRUCTION CE.A.SES FOR A <br />REQUIRE~IENTS OF STATE LAWS <br />SHALL BECOME NULL AND VOID. <br /> <br />REI~RKS:ELEC ~4553 R~5: <br /> <br />DONAL0 E. I~OODLEY, MARION <br /> <br />OFFICE COPY <br /> <br /> <br />