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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH.$TREE,T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P.M. - 8;00 A.M. <br /> <br />I am performing work on 8 property I Own or OCcupy. <br />I am a registered builder OR { the 8uthorized representative <br />of a registered builder. <br /> <br />DATE: 0_9/09/8? TIME: <br /> r2U VALL, V~RN <br /> <br /> 830'7 SILVER FALLS NWY <br />.AUMS¥; LLE <br /> <br />MAILING ADORE~S: <br /> <br />¢~ONE: 362,-5885 <br /> <br />iO~PTN: <br /> <br />OR <br /> i~ARION COUNTY ' !'40 <br /> <br />3:04;02p <br />97325 ~ CONTRACT CITY; ~ UGS: ~OCCUPANT LOAD: <br /> <br /> ; SITE NUMBER: 2130 <br /> i VALUATION: <br /> <br />;S~Cf,5~: ...... i'¥6~hS~,'Fi ...... ] 'R^~: ...... f i5~; <br /> <br /> AREA: ;UN TS' { IR~EG, LOT ~O~ ; <br />,i 2.00000 ) AC ) NO ! ~ <br /> <br />TYPE:! ELECTRICAL <br /> <br />CONTRACTOR, NO, 20?5 <br />LICENSE NOt <br />NORTHSIDE ELECTRIC 1NC <br />90 BOX 7124 <br />SALEH, OREGON 9?303 <br />~!-iC)NE: 393-5559 <br /> <br />PERMIT OR APPLICATZON NO: 4248 <br /> <br /> N <br /> SUPERVISING ELECTRICIA /NUM <br /> ARLZN ~. AOAHS(~ <br /> <br />THO OR MORE NEt~ CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE ~ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QL[ANT l TY A~IOUNT <br /> 3 $2(',',, 90 <br /> $2- 58 <br />: $ ':. 0 {; <br />"TOTAL 4~SSES~ED FEES $23.. 55 <br />PREVI OLdS R~EI PTS $0 <br />THiS RECEIPT :,; $23.56 <br /> <br />r..AY ...... k, ORTHolDE ~_LECTRIC lNG \%,<'~ ...... :, ,:,,,REL;~iPT NO. <br />.~_U~/.,,,) DY~ Dfc, ~,~ :,,Y~E: CK CHECK ~, .¢478 <br /> <br />* ~15 IS A VALID PE~iT :F~:I~ I~E ~TE. IF <br />~CT~ C~ F~ A P~IOD ~ ~89 ~:~ ::OR: ::I~:,~CT~ FAILS TO ME~ ALL <br />RE~IR~ OF STATE ~ ~D ~RI~ ~N~ BUILDING:~D:Z~ING ORDI~C~, ~[S <br />~ALL 8E~E NULL ~D ~ID. ' .; : , <br /> <br /> :: . ~. e-'~- ' <br />REMARKS; 2 CIR <br /> <br />OONALO E. ;¢O00LEY, ~ARION COUNTY 8UtEOZN~ <br /> <br /> <br />