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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, O~EGON'<J7301 <br /> <br /> PHONE 566-5147 <br /> CODE-A-PHONE 4 30 PM - 800 AM <br /> <br />FULTZ, R/~d'4 DY <br /> <br />TIME; 11:15:34 <br /> <br />~XLOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 10047 STAYTON RD <br />ALIfVLSV I LLE <br /> <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br />SE <br /> <br />CONTRACT CITY LJG8 <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br /> RESIDENTIAL <br />O00UPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF BEDROOMS <br /> <br /> PHONE: 769-5386 <br /> <br />LOT BLOCK SECT~C')N <br /> <br />WIJ~TN DEPTH AREA <br /> <br /> SITE NUNSER: 1445 <br /> VALUAT I ON: <br /> <br />18 gs 1W EFU <br /> 20. AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />FULTZ, RANDY <br /> <br />PER,lIT OR APPLICATION NO: 22804 <br /> <br /> SUPERVISING ELECTRICIAN/NUmBER <br /> <br />PHONE: 769--5386 <br /> <br /> I TEN QUANT I T'f AMOUNT <br /> RFJ~ WIRING 2000 SQ PT OR MORE 1 $105.00 <br /> FLEET SURCHARGE -ZONE 3 $3,84 <br /> ELECTRICAL STATE SURCHARGE , , $5.25 <br /> TOTA"E ASSEsseD FEES $114.09 <br /> PREVIOJS RECEIPTS $0. O0 <br /> THIS RECEIPT $114.09 <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: FULTZ, RANDY RECEIPT NO.* 24160 <br /> RECEIVED BY: dm2 TYP~E."::¢,K :CHECK ~: 8150 <br />~ THIS IS A VALID PEf~IlT ~ THIS PER,lIT EXPI,RES 1'8o DAYS'~ ITS I&.~JE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180~QAYS,. OR IF ,,CONSTRUCTION FALLS TO MEET ALL <br />RF_JqUIRENENTS OF ECFATE ~ AND N ARION ~COUNTY RUILDIN6 :~ID zON.IN~3 ORDINANCES, THIS PEi~IlT <br />.,~HALL BECOt~E NULL AND VOID+ , <br /> <br />REMARKS: RES R~2795 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL <br /> <br />¢O"M # MC 15-56 REV 11/88 OFFtC[ COPY <br /> <br /> <br />