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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />· ~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM - 8,00 A,M,, <br /> <br />Other. <br /> <br />DATE: 06/03/87 TIME'. 11:58:59e <br /> FULTZ, RANDY <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 10047 STAYTON RD SE <br />AUNSVILLE OR 97325 <br /> <br />CONTRACT CITY <br /> <br />UGB <br /> <br />1295 ELSER CT SE <br />SALEM, OR 97302 <br />PHONE: 399-?962 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 18 9S <br /> 20. 0000 AC <br /> <br /> SiTE NU~ER: <br /> VALUATION <br />RANGE <br /> <br /> 1W <br />tRREG LOT <br /> N <br /> <br />ZONE <br /> <br />CORNER <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAO <br /> <br />1445 <br /> <br /> EFU <br /> <br /> N <br /> <br />R <br /> <br />TYPE'- ELECTRICAL PEP, NIT OR APPLICATION NO: <br /> <br />2270 <br /> <br />CONTRACTOR, NO. 4354 <br />LICENSE NO= <br />ROY TODD ELECTRIC <br />PO BOX 4 <br />E~UBLIMITY. OREGON 97385 <br />PHONE: 769-2282 <br /> <br />SUPERVISING ELEOTRICIAN,/NUI'qBER <br /> <br /> ITEM <br />IRRIGATION PUMP <br />FLEET sURCHARGE -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: ROY TODD ELECTRIC <br />RECEIVED BY: CL <br /> <br />THIS IS A VALID PEI~4IT ~ <br /> <br />TOTAL AE~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />C~JANTITY <br /> 1 <br /> <br />AMOUNT <br /> $20.00 <br /> $5.12 <br /> $0.80 <br /> <br /> $25.92 <br /> $0.00 <br /> $25,92 <br /> <br /> $o.oo <br /> <br /> RECEIPT NO: 2998 <br /> TYPE: CK CHECK ~: 1035 <br /> <br />THIS PEI:~IT ED<PIRES 180,,DAYS FROM ITS ISSUE DATE. IF <br /> <br />CONSTRUCTION CEASES ~ A PERIOD OF 1613 DAYS.,.::.OR ,IF CONSTRUCTION FALLS TO MEET ALL <br />RI~IREMENTS Of STATE LANS AND MARION COUNTY BUIEDING AND ZONING ORDINANCES, THIS PERNIT <br />SHALL 8ECCelE NULL AND VOID. · ' . <br /> <br />DONALD E. NOODLEY, MARION C,(~NTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />