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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 />~ITUS ~DOF1E55 <br /> <br />rlM~: 16:07~51 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYRE <br /> <br />90040-470 <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />R~I OEN I IA'l_ <br /> <br /> 890 8[H ST <br /> AU~V I LLE <br />USE OF BUILCING <br /> <br />OR 9?325 <br /> <br /> CONTRACT CITY <br /> <br />AUIv~SVi LLE <br /> <br />UGB <br /> <br /> NO <br /> <br />SUBDIVISION <br /> <br />PO BOX 185 <br />S,UBLIMiIY OR 97385 <br />PHONE ~ 769-7364 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />DE~R AOOJ. 1 ION ~3 <br /> <br />Si1E NU~ER~ 11857 <br />VALUAT iON: <br />RANGE ZONE <br /> <br />74 <br /> <br /> AREA 25 UNITS ~ IRREG LOT 2~ CORNER <br />95 7030 · SP NO NO <br /> <br />'tYPE: ELE~CTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO: <br />NOR1HSiOE ELECI'RiC INC <br />PO SOX 7124 <br />.~.L.ErY4, OREGON 97303 <br />PHONEt 39345559 <br /> <br />PERMIT OR APPLICATION NO: 30411 <br /> <br /> E~JPERVISING ELECTRiCIAN/NuIV~ER <br /> ARLIN E. A~ /14'19S <br /> <br /> llEM <br />WIRING < 1500,~ PT , <br />ELECIRICAL 8'IA1ESURCHARGE <br /> <br />PAYEE: NORIFHSIDE ELECTRIC iNC <br /> <br />QiJ~TiTY AMOUN~ <br /> 1 $85.00 <br /> $4.25 <br /> <br />TOTAL ~E,.~ED FEE~ <br />PREV iC~J$ RECEIPTS <br />'tHIS RECEIPT <br /> <br />$89.25 <br /> $o.oo <br />$89.25 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> 32135 <br /> RECEIVED BY: DM2 TYPE~ CK C~ECK ~: 8880 <br /> <br />~ THIS IS A VALIO PEI~IT ~ THIS PERi, IT EX~IRE~ 180 DAY~ FRO~I IT~ I~E ~TE. IF <br />~T~T[~ ~ ~R A PERIOD ~ 180 ~, OR IF ~ST~TI~ FAI~ TO ~EET ALL <br />~i~ OF STATE ~ ~O ~RI~ ~ ~[~[NG ~O Z~ING ORDINal, THIS PE~iT :-, <br />L B~ ~LL ~D~ID. <br /> <br />RECEiPt NO= <br /> <br />REF~RKS: RF_~ R~5901 <br /> <br />DONALD E. W(X~DLEY, IV~RiON COUNTY BUILDING OPFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />