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MARION COUNTY BUILDING INSPECTION <br />SENATQR BLDG NO,, 225 <br />224 HIGFLSTREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 AM <br /> <br />have read arid ctgreg to the terms stated Or~ tho reverse side of <br /> <br />owN,%~TE; 10/12/89 TIMEr <br /> <br />mTusAoaf~E,~?ICKEREL, RCBERT L <br /> <br />TAX LOT <br /> <br />CONSTRUC'[ ION TYPE <br /> <br /> 185 S TUMBLE ST <br />DETROIT <br /> <br />OR 97342 <br /> <br /> CONTRACT CITY <br /> <br />DETROIT <br /> <br />UGB <br /> <br />NO <br /> <br />O00UPANTLOAD <br /> <br />SUBDIVISION <br /> <br /> P,O,, 8OX 544 <br /> OETROIT, OR 9?342 <br /> PHONE ~ 854-3?53 <br />LOT BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> HAMMOND <br /> <br /> SITE NUMBER: <br />RANeFALUATION:zoNE <br /> <br />8522 <br /> <br /> WIDTH I 1 DEPTH <br /> 140 <br /> <br />15 AREA 1 UNITS 10 IRREQ LOT SE COHNEH <br /> 100 14000.0 SF NO NO <br /> <br />RESIDENI'I4i_ <br /> <br />105 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />PICKEREL, ROBERT L <br />P.O. BOX 544 <br />DETROIT, OR 97342 <br />PHONE: 85~--3753 <br /> <br />PERMIT OR APPLICATION NO: 19372 <br /> <br /> .SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />fyi)BILE HOME CONNEC'rlON <br />FLEET SURCHARGE -ZONE <br />ELECTRICAL STATE SURCHAR~E <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANIITY a,MOUNT <br /> 1 $25.00 <br /> $8.96 <br /> $1.25 <br /> <br />$35.21 <br />$35.21 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY: CL TYPE: CHECK ~: <br />~ THIS IS A VALID PER~ZT · THIS DERNIT EXPIRES 180 DAYS FRO~ ITS ISSUE DATE. If <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REOUIRE~ENTS OF STATE [JtNS AND ~AR[ON COUNTY BUILDtN6 AND ZONING ORDINANCES, THIS P£1:;~IIT <br />SHALL 8ECONE NULL AND VOID. <br /> <br />REMARKS: M~l CON <br /> <br />DONALD E. KFOODLEY, MARION COUNTY BUILDING OPBICIAL / BY ......................... <br /> <br />FORM ~' MC 15-56 n[V 11,88 OFFICE COPY <br /> <br /> <br />