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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 AM, <br /> <br />I om perforr~ir~g work on a property I own or occupy <br />t &m & registered budder OR ( ~the~uthmrizedregresentatNe <br />of a registered builder, <br />The work will be I:)orformed bF a registered budder <br />Other <br /> <br />12/22/89 TIME., <br />KINNEY, ELVENA <br /> <br /> 12214 NEST STAYTON RD <br />AUI'4SVILLE OR <br /> <br />9?352 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />~RION COUNTY <br /> <br />SUBDIVISION <br /> <br />SAME <br /> <br />PHONE: 769-9128 <br /> <br />~ O~ BLOCK <br /> <br />SITE NU~ER: <br /> VALUAT I ON; <br /> <br /> NO <br /> <br /> 9002 <br /> <br />ZONE <br /> <br /> NO <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br /> <br />OCCUPANT LOAO <br /> <br />MAP <br /> <br />TYPE; ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />20956 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />KINNEY, ELVENA <br /> <br />SUPERVISING ELECTRICIAN/NuI'4BER <br /> <br />PHONE; 769-3128 <br /> <br /> ITEM <br />THO OR rcORE NE~4 CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AM(~JNT <br /> 1 $30.00 <br /> $3.84 <br /> $1.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$35_34 <br /> $0.00 <br />$35.34 <br /> <br />BALANCE DUE <br /> <br /> PAYEE: KINNEY, ELVENA RECEIPT NO: 22228 <br /> RECEIVED BY: PR 7'¢PE.~ CK CHECK ~: 705 <br /> <br />$ THIS IS A VALID PERMIT * THIS PEI~4IT EXPfRIL'~ 180 ~ F~ ITS I~E ~TE. IF <br />~ST~CTI~ C~ ~ A ~RiOD ~ 180 ~, OR IF ~CTI~ FAI~ TO ~ ALL <br />~IR~TS OF STATE ~ ~O ~RI~ ~ ~I~I~ ~D Z~ING ORDIN~C~, ~i3 ~IT <br />~L 8~E ~LL ~D <br /> <br />CONALO E. ODLEY, blARION C NTY BUILDIN6 OFFICIAL / eY .......... <br /> <br />OFFICECOPY <br /> <br /> <br />