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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 />Other <br /> <br />DATE.~ li/23/92 TIME: 8:34:~4 <br />OSLIE, STEVE <br /> <br />TAX gOT: <br /> <br />2ONS'CRUDTIQN TYPE <br /> <br />2.ATEGORY <br />RESIDENTIAL <br /> <br />DCCUPANCY <br /> <br /> 65.5 4TH ST N <br />AUMSVILLE OR 97525 <br /> <br />OCCUPANT LOAD <br /> <br />USE OF BUILDING; <br /> <br />MAILfNG ADDRESS; <br /> <br />P.0. 80X 577 <br />AUNSVILLE <br />PHONE: 749-1290 <br /> <br />SUSDIVIBION <br /> LUCAS ~DOITION <br /> <br /> SITE NUHBER: 92-04081 <br /> VALUATION: <br /> <br />LOT; <br /> <br /> 4 <br />WIDTH; <br /> <br /> 8LOCK; <br /> <br />8O <br /> <br /> SEdTIOW: TbWNSRiP: ..... RANGE: ZONE: 'MAPr <br /> <br /> 24 8S 2W RS 51 <br /> AREA: ~NI~F: IRreG. LOT: :CORNER: <br />150 12000. NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 9044045 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />0SLIE, STEVE <br />P.O. 80X 577 <br />AUNSVILLE <br />PHONE: 749-1290 <br /> <br />SUPERYISIN8 ELECTRICIAN/NUMBER <br /> <br /> ITEM QUANTITY ANOUNT <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - iST CIRCUIT 1 $55.00 <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER EACH ADDITIONAL 2 $4.00 <br />ELECTRICAL STATE SURCHARBE $1.95 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$40.95 <br /> $0.00 <br />$40.95 <br /> <br />BALANCE DUE $0.00 '! <br /> <br />PAYEE: OSLIE, STEVE ~ RECEIPT NO! 46116 <br />RECEIVED 8Y: P8 .... TYPE' IN CHECK ~ 0 <br /> <br />* THIS IS NOT A PERHIT. THIS APPLICATION MUST BO'THROUBH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ............. DATE ............. <br />REMARKS: ~ CIR <br /> <br />CITY flURISDICTION~ 8Y ........ DATE <br /> <br /> OFFICE COPY <br />FORM # MC 15-58 ,REV. 4/90 <br /> <br /> <br />