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MARION COUNTY BUILDING INSPECTION <br /> i¢- SE~',~TOR BLDG. NO, 225 220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM, - 8:00 A.M, <br /> <br />DATE: 10/18/89 TIME: 11:08:58a <br /> DORAN, TON <br /> <br />SITUS ADDRESS: <br /> <br />SIGNATURE OF APPUCANT: <br /> <br /> 90061-001 <br /> <br />CAT~'GORY: <br /> <br />OCOUPANOYI <br /> <br />RESi DENT I,Ag <br /> <br /> 910 tOTH PL <br />AU~VILLE OR 9?325 <br /> <br />CONTRACT CfT¥: UGB: <br />AUMSVI LLE NO <br /> <br />OCCUPANT LOAD. <br /> <br /> NO, OF BEDROOMS: <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE= 769-?364 <br /> <br />?0 108 <br /> <br />SUBDIVISION: <br /> GI LDON $¢2 <br /> <br /> SITE NUMBER: 8338 <br /> VALUATION: <br /> <br /> TOWNSHIP: RANGE: ZONE: <br />25 8S 2W R~ <br /> UNITS: SF IRREG. LOT; YE-CORNeH:NOS <br /> <br />MAP: <br /> <br /> 51 <br /> <br />TYPE= ELECTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO: <br />NORTHSIOE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 9?303 <br />PHONE: 393-5559 <br /> <br />PERMIT OR APPLICATION NO: 19887 <br /> <br /> SUPERVISING ELECTRICIAn/NUMBER <br /> ARLIN E. ADAMSON /14793 <br /> <br />RES MIRING < ~000 ~ FT <br />FL. EET,,~AJRCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> I $?5.00 <br /> $3.84 <br /> $3.75 <br /> <br />TOTAL A,ESES,SED FEES <br />P~EV[OUS RECEIPTS <br />T1-4[$ RECEIPT <br /> <br />$82.59 <br /> $0.00 <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE NORTHSIDE ELECTRIC INC RECEIPT NO: 20897 <br />RECEIVED BY: PR ~- ~ TYPE: CK CHECK ~: ?721 <br /> <br />* THIS IS A VALID PER~IT ~ .~.THIS. PER~IT EXPIRES .180 'DAYS FRON ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A ~ERIOD,..OF ;180.: DAYE~, ..OR, IE CONSTRUCTION FAI!....~ TO MEET ALL <br />RF-~JIRENENTS OF STATE LANS AND, ~ARION COUNTY BUILDING" AND ZONING ORDINANCES, THIS PERMIT <br />~HALL B~E NULL AND VOID. %',':¥'"' /'" ' ' , <br /> <br />RE~R~: RES WlRNG <2000 FT <br /> <br />DONALD E_ NOODLEY, MARION COUNTY BUILDING <br /> <br />FORM # M(: ~5-$8 R~V H/$8 OFFICE COPY <br /> <br /> <br />