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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 ¢egistered ~bui~der. <br />Other <br /> <br />SIGNATURE OF APPLICANY: <br /> BATE; <br /> <br /> BATE= 06/2?/88 <br />OWNER: <br /> <br /> NARD, PETE <br /> <br />TINE: <br /> <br />TAX LOT <br /> <br />CONSTRUCTION tYPE <br /> <br /> 19811 OLMSTEAD RD <br />AUI:~DRA <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONTRACT CITY' 0QE <br />MARION .COUNTF~< ......... NO .- <br /> <br />MAILING ADDRESS: "' <br /> <br />SUBDIVISION: <br /> <br /> SANE <br /> <br /> PHONE: 678-2656 <br /> <br />WIDTH: DE Rl'H: <br /> <br />CATEGORY <br /> RB~I DENTIAL ,, <br /> <br />OCCUPANT LOA£ <br /> <br /> SITE NUMBER: ~ <br /> ._~ALU~TION: <br /> <br /> 19 4S 1~ EFU 6 <br />AREA: UNITS RREG. LO~ CORNEF <br /> 20.0000 AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO; <br />NARD. PETE <br />SANE <br /> <br />PERNIT OR APPLICATION NO: (~ <br /> <br /> ~¢JPERVISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 678-2656 <br /> <br /> ITF~ <br />MOSILE H0f4E CONNECTION <br />FLEET EAJRCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMO~JNT <br /> $20.00 <br /> <br /> 1,00 <br /> <br />TOTALA~ESSED:FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$28.68 <br /> 28.68 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: JB TYPE: CHECK ;~: <br /> <br />~ THIS IS A VALID PERNIT ~< THIS PERNIT EXPIRES 180: DAYS FRON ITS ISSUE DATE+ IF <br />CONSTRUCTION CF_A~E~ FOR A PERIOD OF 180 DAY~. OR IF: C~STRUCTt0N FALLS TO I~EET ALL <br />REQUIREMENTS OF STATE LANS AND fK&RION COUNTY BUILDING: :AND ZON:ING ORDINANCES, ~HIS PF_J~IIT <br />SHALL BECONE NULL AND VOID. <br /> <br />RE~vIA. R~; CONN R~8324 <br /> <br />DONALD E, !NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~OnM ,, MC ~:,.~,~ .Ev 6~7 OFFICE COPY <br /> <br /> <br />