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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 AM, <br /> <br />~ 12/07/89 TiMEs 11:14=10 <br /> <br /> KINNEY, ELVENA <br />StTUS ADDRESS <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TyPE <br /> <br /> 12214 HEST STAYTON RD <br />AUMSVILLE OR <br /> <br />9'/352 <br /> <br />SE <br /> <br /> CONTRACT CiTY UG~ <br />NARTON COUNTY NO <br /> <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OP BEDfl00M$ <br /> <br />SANE <br /> <br />PHONE: 769-3128 SITE NUffiBER: 9002 <br /> VALUATION -+ <br /> <br /> NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />206?3 <br /> <br />CONTRACTOR, NO+ <br />LICENSE NO: <br />KINNEY, ELVENA <br /> <br />,~UPERq/ISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 789-2129 <br /> <br /> ITE~I <br />SERV O-lANCE ONLY-EXISTING RESIDENCE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> <br />TOTAL AE~E~ED FEES <br />PREVIOUS RECEI PT~ <br />THIS RECEIPT <br /> <br />BALANCE It]ME <br /> <br />PAYEE: KINNEY. ELVBNA RECEIPT NO: <br />RECEIVED BY: ~ TYPE= OK CHECK <br /> <br /> AMOUNT <br /> $30,00 <br /> $3.84 <br /> $1,50 <br /> <br /> $35,34 <br /> $0.00 <br /> $35.34 <br /> <br /> $0,00 <br /> <br />21934 <br />6379 <br /> <br /> THIS IS A VALID PEI~IlT = THIS PEI~iIT ~KPI~ 11~0 DAYS FRON I'r~ ISSUE DATE. IF <br />c~s-mucrzON cEAseS FOrt A ~IOO 0¢ ~S0 DAYS, On IF CONST~JCTION FAILS TO .~ET ALL <br />~A~AL~L ~P~NuLLOF STATEAND VOID.~ AND IRARION OOUNTY BUILDIh~ AND ZONIN~ ORDiNANCeS, THIS <br /> <br />R~'4ARKS; SERV/CH6 f~8379 <br />DONALD E. NIDODLEY, MARION COUNTY BUILDING OFFICIAL / BY ....... ./~ ...... <br /> <br />OFFICE COPY <br /> <br /> <br />