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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 585-5147 <br />CODE-A-PHONE 4::30 P.M - 8;00 A,,M <br /> <br /> DA?E: 01/27/88 TIME: 11:53:008 <br />OWNER <br /> CAULK INS, ZACH <br /> <br />SIGNATURE OR APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br />i CON~TRUOTIbN TYRE <br /> <br /> 5027 DUMORE DR SE <br />&UMSVILLE OR 97325 <br /> <br />SSE O~ BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> SAME <br /> <br /> PHONE; <br /> <br />LOT <br /> <br />BLOCK <br /> <br />DEPTH <br /> <br />CASCADE PARK <br /> <br /> SITE NUMBER: <br /> VALUAT <br />SECTION i TOWNSHIP T' RANGE <br /> <br />AREA 3.00000 UNITS AC I NO <br /> <br />1399 <br /> <br />CATEGORY <br /> RES I DENT ~ AL <br /> <br />OCCUPANCY <br /> <br />62.6 <br /> <br />TYPE~ ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />APRON ELEC <br />1606 OAK ST SE <br />SALEM OR 97301 <br />PHONE; 3?0-92?9 <br /> <br /> PERMIT OR APPLICATION NO: 6441 <br /> <br />34296 SUPERVISING ELECTRICIAN/NUMBER <br /> RICH EVANS <br /> <br /> ITEM <br />SERV CHANGE ONLY--EXISTING RESIDENCE <br />;LEET SURCHARGE -ZONE 2 <br />ELECTRICAL STATE ,,SURCHARGE <br /> <br />QUANTITY A~)UNT <br /> I $2000 <br /> $2_58 <br /> $1.3C <br /> <br />TOTAL ~ESS. EO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$23.55 <br /> <br />BALANCE DUg <br /> <br />PAYEE: APRON ELEC RECEIPT NO: ?04} <br />RECEIVED BY: c1 TYPE,: CK CHECK ~: 6280 <br /> <br />* THIS IS A VALID PEB4IT * THIS PEI~IT EXPIRE~186 DAY~ FRO~I ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180DAYS::,=OR~IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND NARION COUNTY BUILDING'AND= ZONING ORDINANCES, THIS <br />~HALL BECONE NULL ,~ID VOID. <br /> <br />REMARKS: S/C IN RES <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~BF~ N MC lb:E: ~ e'a' OFFICE COPY <br /> <br /> <br />