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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 8:00 - 4',30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> I have fesd arid agree to the terms stated on the reverse side of <br /> <br /> OArE: 10/23/90 liME: 10;31~.39 <br /> <br /> NICNOL, GLEN E. <br />S~TU$ ADDRESS <br /> <br />DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYRE <br /> <br />5r53B3-889 <br /> <br />CRTEGOR~ <br /> <br />OCCUP&NCY <br /> <br />RES i DEN I i AL <br /> <br />AUI~ViLLE OR 97325 <br /> <br />USE OF BU~LOING <br /> <br /> CONTRACT CITY UG8 <br />MARION COUN fY NO <br /> <br />AUIvE~VILLE, OR 97325 <br />PHONE: 585-1782 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 31 <br />WIDTH DEPTH AREA UNITS <br /> 1 - '/7 <br /> <br /> VALUAflON: <br /> <br />85 qW AR <br /> IRREG LO( CORNER <br />AC YE~ NO <br /> <br />MAP <br /> <br />4~ <br /> <br />l YPP.;: EL ~ .IRIOAL <br /> <br />CON fRACFOR, NO. <br />LICENSE NO: <br /> <br />9748 BALE5 RD SE <br />AUMSViLLE, OR 9?325 <br />PHONE: 585-1782 <br /> <br />RERMi¥ OR APPLiCAIlON NO: 9028243 <br /> <br /> SUPBRVI~ING Et~ECfRICIAN/NUtC~bR <br /> <br /> ITeM <br />MANUFACFURED HC~E SERViC~/FE~D~R <br />FLEET ~U~ARGE -ZONE <br />ELEC'f'RICAL 5fArE SURCHArgE <br /> <br />PAYgE: NICNOL, GLEN E. <br /> <br />TOTAL A~E~ED FEES <br />PR~WICU~ RS.~EiPI$ <br />IHi5 RECEIP1 <br /> <br />QUANflTY AR(~Nf <br /> 2 <br /> $3.84 <br /> <br />$77.34 <br /> <br />BALANCE DUE $O.OO <br /> <br />RECEiP] NO: 29844 <br /> <br /> RECEIVED ~JY: c l tYPE: CK CHECK ~: <br /> <br />~ THiS iS NOT A PE~I'f. THi~ APPLI~TI~ ~8'r ~ TH~ A REVIEW P~ ~ERE THE <br />POLL~ING ~Sr BE ~PLETED, iT iS THE R~SiBiLITY OF [HE APPLICANT fO ~R~ THAT <br />ALL N~ INFO~'FI~ H~ BE~ P~VIDEO+ <br /> <br />PLAN REVIEW: BY DAlE <br />I'"EMARKS; jv~ ~VC/CON R~4248 <br /> <br />CiIY JURISOICfI~N: 8Y ~AIB <br /> <br />OFFICE COPY <br /> <br /> <br />