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MARION COUNTY BUILDING INSPECTION <br />SENA~TOR E~_~G. NO 225 <br />220-HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8,00 A M <br /> <br />SlGNA1'UP~E OF APPLICANT <br /> DATE <br /> <br />o~E: 01/19/89 TIME; <br /> <br /> LOUME~4A, DAN I EL <br />SITUS ADDRESS <br /> <br />2:50:52p <br /> <br />TAx I CT <br /> <br />CONST'RUCTION TYPE <br /> <br />700 <br /> <br />10526 MATTHIEU LANE NE CONTRACT CITY UGe <br />AURORA OR 97002 <br />USE 0~ BL,~LD~N¢, M~RION COUNTY NO <br /> <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF 8EUEOOMS <br /> <br /> SAME <br /> <br /> PHONE: 678-$38? SITE NUMBER: 6241 <br />lOT BLOCK SECTION TOWNSHIP ~AN~LUATION: <br /> <br />¢~101H DEPTH AREA 08 UNITS 4S I~EG tOT 1~ COHNEH E~ <br /> 28. 8900 ~ NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL PER~4IT OR ~P_J~J~CATION NO: 13468 <br /> <br />CONTRACtOr, NO,, ~'~/%~ <br /> <br />SAME ' % ~ ~ <br />~ONE: 678-528? ~~~~ ~ /~ <br /> ITEM QU~TITY <br />N~ILE HONE SPACE (SVC E~[P) 1 <br />H08[LE HOME C~NECTI~ 1 <br />FLEET ~R~iARGE -ZONE 8 <br />ELECTRICAL, STATE SU~HA~E <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $25.00 <br /> $25.00 <br /> $7.68 <br /> $2.50 <br /> <br />$50.18 <br /> 60,18 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: OM TYPE: CHECK <br /> <br />* THIS IS A VALID PERt4IT * THIS PERNIT EXPIRF_~ 180 DAY~ FRCM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASF.~ FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: SERV~ R~¢5420 <br /> <br />DONALD E- WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o.~¢~::~,~-5e ~Bv~I,~ OFFICE COPY '" <br /> <br /> <br />