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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br /> -, 220 HIGH STREET NE <br /> ~ '~ALEM. OREGON 97301 <br /> --';:'; PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />DATE: 06/:20/89 TIME: 8.* 14:06a .' <br /> <br />· 815 HAZEL $'1~, i:¢(,,.~',-,- , '! ~" · <br /> <br />AUMSVZLLE .r OR 97925 <br /> <br />have read and agree to lhe te~7~s,sta~d on t~e rever~Side of .......... <br /> <br />~IGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />¢ONSTRU0¥{ON TYPE: <br /> <br />ADNSVI LLE NO <br /> <br />CATEGORY: <br /> RES I DENT I AL <br /> <br />OCCUgANCY: <br /> <br />OOCUPANT <br /> <br /> NO OF BEDROOMS: <br /> <br />PO BOX 185 <br />SUBLZMITY, OR 97285 <br />PHONE: 769-7364 <br /> <br /> SITE NUMBER: 7645 <br /> VALUAT]:ON: <br />SECTfON: TOWNSHIP; RANGE: ZONE: MA~: <br /> 24 8S 2N ,~ 51 <br /> NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR: NO. <br />LICENSENO. <br />DORAN, TOM <br />FE) 8OX 185 <br />SUBLIMITY OR 9738~ <br />~4ONE: 769-7364 <br /> <br />PERMIT OR APPLICATION NO: 16850 <br /> <br /> ,.SUPERVISING ELECTRIC]:AN/NUfCEIER <br /> <br />TE~P O0~STR SERVICE <br />FLEET sURCHARGE -ZONE 2 <br />ELECTRICAL ;STATE SURCHARGE <br /> <br />PAYEE: DORAN ~ TON <br />RECEIVED BY; P~ ' '. <br /> <br />~ THIS <br />C~CTION <br />RE(~JIRE~TS OF,STATE ,I.~1~8 , <br />SHALL 8ECONE NULL~ID VOID. <br /> <br /> OUANTITY A~NT <br /> ~ · ,~, 1 $30. O0 <br /> , .~': "-: ,. $2.84 <br /> $i 50 <br /> <br /> FEES $35.34 <br /> RECE I PTS $ 0.00 <br /> · TP,Is',REOEI PT $35.34 <br /> <br /> BALANCE:.DUE <br /> · $o.oo <br /> <br />J'" ~ RECEIPT NO: 17917 <br /> ~ .~':',':~!;~:', :'~,,. ~,,,.~ · T~,"?E~.. IN ~ CHECK ~: 0 <br /> <br />,DAYS ;,FRE~I ,~TS ISSUE. DATE. IF <br /> FAILS TO I~rr_ET ALL <br /> ORDINANCB.. THIS PERMIT <br /> <br />DONALD E. NOODLEY, MARION CO~,,NTY 8UILDI~ OFOlCIAL / BY <br /> <br />r-o~ ,, ~¢c ~,~,~ ~ev -,~o OFFICE COPY <br /> <br /> <br />