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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />2~-0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 P,M - 8 O0 AM <br /> <br />Other, , <br /> <br />DATE: 10/27/87 TIME.~ 2;85:57p <br /> HARDIN, BRIAN <br /> <br />Elf US ADDRESS <br /> <br />DATE . <br /> <br />TAX LOT CAT,GORY <br />CONSTRUCTION TYRE OCCUPANCY <br /> <br /> 10704 SILVER FALLS HNY <br />AUMSVILLE OR 97325 <br /> <br />SE <br /> <br />UBE 0¢- BUILDING <br /> <br />SINGLE FANILY DNELLING~ <br /> <br />· CONTRACT CITY [ UG~ OCCUPANT LOAD <br />-M~[O~.. COUNTY,, : NO <br /> <br />SUBDIVISION <br /> <br /> SAME <br /> <br /> PHONE: $62-2284 <br /> <br />LOT BLOCK SECTION TOWNBHIP <br />17 <br /> <br /> 50.0000 <br /> !_ <br /> <br /> SITE NU~ER: <br /> VALUATION: <br /> <br /> RANGE <br /> <br />8S 1W <br /> IRREG LOT <br />AC NO <br /> <br /> 2953 <br /> <br />ZONE <br /> <br /> NO <br /> <br />MAp <br /> <br /> 46 <br /> <br />TYI~: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />HARDIN, BRIAN <br /> <br />PHONE: 362-2284 <br /> <br />PERNIT OR APPLICATION NO: 5250 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERV CHANGE ONLY-EXISTING RESIDENCE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: HARDIN, BRIAN <br />RECEIVED BY: pb <br /> <br />OUANTITY A~NT <br /> 1 $20.00 <br /> $3.84 <br /> $I.00 <br /> <br />TOTAL gSSESSED FEES $24.84 <br />PREVIOOS RECEIPTS $0.00 <br />THIS RECEIPT $24.84 <br /> <br />BALANCE CUE $0.00 <br /> <br /> RECEIPT NO: 5807 <br /> TYPE: CK CHECK ~: 3438 <br /> <br /> THIS IS A VALID PERI'lIT * THIS ,PERNIT EXPIRI~ ,180 ~ E~ ITS [~E ~. <br />R~I~ OF ~ATE ~ ~D ~I~ ~ ~I~I~:~D Z~I~ ~DI~. ~IS ~IT <br />~ BE~ ~LL ~D <br /> <br />R,..................~RKS: R~:8004 <br />ooNA,.D E. RION OOUNT¥ ,,OILOIN OF F,O,AL/,,Y <br /> <br />fO"M ,, ~c ~,,(~ ~E~ ~ OFFICE COPY <br /> <br /> <br />