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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 P.M. - 8;00 A.M. <br /> <br />DA?Et 05/'02/88 TTME: 1:44:29~ <br /> <br /> WOOLSEY, DUANE <br /> <br />RES I 0EM T' 14 L <br /> <br /> 11457 MCCLELLAN RD SE <br />AUMSVIL,.E OR 9?325 <br /> <br />CONTRACT CITY UGB OCCUPAN1 LOAD <br />~4RZCN COUNTY ~ NO <br /> <br />MAILING Al3 DRESS <br /> <br /> SAME <br /> PHCN~ i 749-'f 5'73 SITEvALUATIoNNUMBER;; ,. <br /> <br /> 8 12 9S 2N AR 52 <br />WIDiH DEPTH ARE~ UNITS IR~EG LOT <br /> 275 <br /> NO <br /> <br />SUBDIVISION <br /> <br />N~,~ ~ STAYTON LOTS <br /> <br />TYPE: ELECTRICAL. <br /> <br />CONTRACTOR, iN(]). <br />LICENSE NO: <br />A'OOLSEY, OUANE <br />SAM.S-' <br /> <br />PHONE:' <br /> <br />PERMIT OR APPLICATION NO: ~ <br /> <br /> SUPERVISING' ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MOBILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANT i TY ,AMOUNT <br /> I <br /> <br /> q ,0O <br /> <br />$24.8a <br /> 24.84 <br /> <br />BALANCE DUE <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY. J8 TYPE: CHECK <br /> <br />* THIS IS A VALID PERNIT * TH~S PERNIT EXPIRE~S 180 DAYS FRCN ITS ISSUE DATE. IF <br />CONSTRUCTION CE. ASE~S FOR A PERIOD OF ]80 DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REQUIREMENTS OF STATE LAWS AND r, IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~IT <br />SHALL BEC~E NULL AND VOID. - <br /> <br />REMARKS: MH CON <br />OONALO E. ~OODLEY, ~ARION COUNTY BUiLDiNG OFFICIAL / BY ................. ~~_=,~ <br /> <br /> <br />