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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 <br />CODE-A-PHONE 4::30 PM - 8.OO A.M.. <br /> <br />D&TE: 05/16/88 TIME: 4:05:50p <br /> <br /> WOOLSEY, 0UANE <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> YAX LOT <br /> <br /> 1145"/ MCCLELLAN RD SE <br />~UMS'v I LLE OR 9'7325 <br /> <br />~P,.Z ON .CQUhFrY ; NO <br /> <br />PHONE ¢ 749~ 1573 <br /> <br /> 8 <br /> <br /> 150 <br /> <br />2'75 <br /> <br />NEST STAYTON <br /> <br /> RESIOENTIAL <br /> <br />OOCUPANCY <br /> <br />LOTS <br /> <br /> SITE NUMBER: (~ <br /> VALUAT I ON; <br /> <br />12 9S 2W AR <br /> NO NO <br /> <br />' MAP <br /> <br /> 52 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />WOOLSEY, DUANE <br />SA~E <br /> <br />PHONE: 749-1573 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> SUPERVISING ELECTRICIAN/NUNBER <br /> <br /> ITEM <br />~08ILE HOME SPACE (SVC EOUIP) <br /> LEET SURCHARGE -ZONE 3 <br />ELECTRICAL S-FATE SURCHARGE <br /> <br />PAYEE; WOOLSEY, DUANE <br />RECEIVED 8Y¢ J8 <br /> <br />QUANT I ]'Y AMOUN'~ <br /> I $20. O0 <br /> $:3.84 <br /> $1 .00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$24_34 <br /> <br />$243 <br /> <br />ECALANCE DUE $0.00 <br /> <br />RECEIPT NO; 9182 <br />TYPE: CK CHECK ~: 1457 <br /> <br />* THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRBS 180 DAY~ FROM ITS IS,SUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />RE(~JIREMENT$ OF STATE LANS /kIND MARION COUNTY BUILDING AND ZONING ORDINANCES. 'Pr~IS PERMIT <br />.~rlALL 8EOOC4E NULL AND VOID. <br /> <br />REMARKS: MH SERV.~608~ SELF <br />00NALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ........ ~__~_~__' <br /> <br /> <br />