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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 F~GH ST~qEET NE <br /> SALEM;~OREGON 97301 <br /> <br /> PHONE:; 588-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />OWNER <br /> [.)AIE: 08/31/90 liME: 19:41:51 <br />LIT US ADDRF~,,~E~?,~E¥ , M[CHAEL <br /> <br /> 11260 FARGO RD NE <br />us~NG OR 97002 <br /> <br />TAX LOT <br /> <br />CONSTRUOTION TYPE <br /> <br />CONTRACT CITY <br /> <br />f'¢¢~. R i f...,~4 COUN] Y <br /> <br /> SURDIVI$1ON <br /> <br />UGB <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />~SAME <br /> <br />SECTION TOWNSHIP <br /> <br />~,~..~ NU~ER: ZONE 9019 <br />~ ~ALUA F ION: <br /> <br />5 <br /> <br />UNIIS I[~REG LOT COHNER <br /> 4 <br /> <br />A~ <br /> <br />NO YD~ <br /> <br />TYPE: ELEClRiCAL PERF411 OR APPLiCAI'ION NO~+ <br /> <br />26932 <br /> <br />CONIRACfOR, NO. <br />L~CgNSE NO: <br />,,~EENEY, MICHAEL <br />SA~E <br /> <br />~SUPERVJ$iNG ELECtRiCIAN/NUttiER <br /> <br />PHONE: 878-5036 <br /> <br />C/I SERV 101~200 <br />TWO OR MORE N~N CIRCUI~S;AL1 OR <br /> <br />~LEC~RJCAL ~TAfE SURCHARGE <br /> <br />(,IUAN T I ~Y AIVE)UN I <br />1 <br />1 <br /> <br /> 5_0O <br /> <br />tOTAL A~ESSED FEES <br />PREViOU~ RECEiP)S <br />TH[~ RECEIP¥ <br /> <br />$112_68 <br /> $0.00 <br />$t12,68 <br /> <br />BALANcB DUE $0.00 <br /> <br />RECEIPf NO: 28483 <br />1YPE= CK CHECK ~: 1097 <br /> <br />PAYEE: .~5~E~JNEY, MICHAEL <br />R~CBIVED BY; PfC <br /> <br /> THIS is A VALID PEE~IT ~ THlS PER,liT EXPiRI~5 180 DAYS FRO~ iTS I,~x.qJE DATE. IF <br />~DON~TRUCTiON CEA,..~ FOR A PERIOD OF 180 DA'Y~, OR iF (~TRUCTION FAIL,,.~ TO NEET ALL <br />REQU[REFI~',ITS OF ~TATE LA~ AND ivlARION COUNTY ~UILD[NG .a~lD ZONING ORDINANCES, TH[~ PERi, IT <br />:.'.~HALL BECOFIE NULL AND VOID. <br /> <br />REMARKS: 200 AMP& 2 CIR R~2848 <br /> <br />CONALD B. NOODLEY, MARION COUNiY BUiLDiNG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />