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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO,, 285 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> ~, PHONE 588-5147 <br />"'CODE-A-PHONE 4::30 PM - 8:00 AM, <br /> <br /> DATE: 01/18/89 <br />OWNER <br /> F'WHA <br /> <br />TINE: 1:04:32p <br /> <br />TAX LOT <br /> <br />90061-261 <br /> <br />RESI DENTIAL~ <br /> <br /> 910 LINCOLN ST <br />AUNSVILLE OR 97325 <br /> <br />AUlVBV I LLE NO <br /> <br />OCCUPANT gOAD <br /> <br /> NO OF BEDROOMS <br /> <br />1655 25TH ST SE <br />SALEM OR 97302 <br />PHONE: 399-5751 <br /> <br />10 i 3 25 9S <br />8?I 97 SF <br /> <br />GILDON ~2 <br /> <br />SITE NUMBER: 5824 <br />VALUAT I ON: <br />RANGE ZONE <br /> <br /> 2W RS <br /> YES NO <br /> <br />MAP <br /> <br />51 <br /> <br />TYPE: ELECTRICAL PEPJ~IT OR APPLICATION NO: <br /> <br />13584 <br /> <br />CONTRACTOR, NO. 34974 <br />LICENSE NO: <br />R+S. ELECTRIC <br />5523 OEAN CC~JRT SE <br />SALEM 97301 <br />PHONE: 378-1126 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />ROD S¢4EOSRUD <br /> <br /> ITEM <br />RES WIRING < 2000 SQ F/ <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />0UANTITY AICDUNT <br /> 1 $75.00 <br /> $3~84 <br /> $3.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />/HIS RECEIPT <br /> <br />$82.59 <br /> <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: R.S. ELECTRIC RECEIPT NO: 14398 <br />RECEIVED BY: Pi3 ............. . ................. TYPE: ~N CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * /HIS PERMIT EXPIR~ 180 DAY~ PROW ITS I~,C~E DATE. IF <br />CONSTRUCTION cEASE FOR A PERIOD OF 180 ~YS, OR IF ~ST~CTI~ FAI~ TO ME~ ALL <br />RE~ZR~ OF STATE ~D ~[~ ~N~ ~ILD[NG~D Z~[NG ORD[~C~, ~[S PE~IT <br />~ALL BEdE NULL~D VOID. <br /> <br />RENARK~: RE~ <br /> <br />FORM ¢ MC 15-56 REV 11¢88 OFFICE COPY <br /> <br /> <br />