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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br />I am a registered builder OR the authorized representative S GNATURE ~¢~¢ ,...,..~----,-:'-'" <br /> / <br />Other o^,. / ¢- O* 7 / <br /> <br />08/19/87 TIME: .3¢42:34e <br />FINOLEY, IVEN <br /> <br />COMMER ICAL, <br /> <br /> 528? DUMORE DR <br /> AUMSVILLE <br /> <br />US~ OF BUILDING: <br /> <br />OR 97825 <br /> <br />SE <br /> <br />COUNTY-- . NO <br /> <br />MAIl, lNG ADDRESS AJvlUSEMENT AND RECREATIONAL '8UILDING~DiWS~ON <br /> <br /> PHONE: 581-4344 SITE NUMBER: 2256 <br /> VALUATION: <br />LOT BLOCK' !SECTION TOWNSHIP: ; RANGE ZONE MAP <br /> <br /> 13 8S ~ AR5 82.10 <br /> i 2.50000 AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />FINDLEY, IVEN <br /> <br />PHONE= 881-4344 <br /> <br />PERMIT OR APPLICATION NO: 3862 <br /> <br /> SUPERVISING ELECTR ICIAN/NUFEiER <br /> <br /> I TEN QUANTI l~F AtvE)UNT <br />TNO OR MORE NEW CIROUIT$$ALT OR EXT 1 $20_00 <br />FLEET SUF-c~HARGE -ZONE 3 $3.84 <br />ELECTRICAL STATE SURCHARGE $1.00 <br /> ASS 'O FEES $24.84 <br /> PREVIOUS :REDE,[ PTS $ 0.0 0 <br /> ,:THIS RECEIPT $24.84 <br /> <br /> : BALANCE DU~ $0.00 <br /> <br />PAYEE: FINDLEY, IVEN ~ECEIPT NO: 4417 <br />RECEIVED BY.* JB <br /> <br /> , ..... :~Y~E: OK CHECK ~: 0 <br /> THiS IS A VALiE'P"~I;~IIT * ~HIS::PEI~4If rEXP~I;IB":~'~,~% ~-~-~]--~F ..... <br />~T~CTI~ C~ ~R A ~IOD OF ~;; O~ IE;:~T~CTI~ FAI~ TO ~ ALL <br />RE~IR~ OF STATE ~ ~D ~I~ ~N~ ~ILDI~:~D Z~ING ORDI~, ~IS ~[T <br />~A~ B~ NULL ~O ~O. : : <br /> <br />R~RKS: 2 OR MORE CIR <br /> <br />DONALD E. ~OODLEY, MARION COUNTY BU,~LD!,N6 OFFICIAL, ? BY ___~,,~.~_.~.¢¢~_~ ...... <br /> <br />OFFICE COPY <br /> <br /> <br />