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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OR. EGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 8'00 A.M.. <br /> <br />of a registered budder, <br /> <br /> DATE; 05/29/8'7 TIME: 4.'01: 18~ <br />OWNEH JEE, RONALD A. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX ~0~ 40864-000 <br /> <br />CATEGORY <br /> <br /> 12123 FRY ROAD <br />AURORA <br /> <br />SAblE <br /> <br />PHONE: 678-1544 <br /> <br /> NE <br />OR 9'7002 <br /> <br />RESIDENTIAL ACC~RY STRUCTURES <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br />CONTRACT CITY UGB OCCUPANT LOAD <br /> NO OF <br /> <br />SUBDIVISION <br /> <br />SITE NUMBER: 1997 <br />VALUATION: <br /> <br />LOT BI. GCK SECTION <br /> <br /> TOWNSHIP RANGE ZONE MAP <br /> 21 45 lW EFU <br /> <br />4+50000UNITS AC IRREG LOT N DORNE~ N <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />JEE, RONALD A. <br />SAIvIE <br /> <br />PHONE: 6"/8-1544 <br /> <br />PER:MIT OR APPLICATION NO: 2194 <br /> <br /> SUPERVISING ELECTR I CIAN/NUI'C~ER <br /> <br /> ITEM <br />TWO OR MORE NEN CIRCUITSpALT OR EXT <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PS <br /> <br />0UANTIT? AMOUNT <br /> $20.00 <br /> ~7.68 <br /> 0.80 <br /> <br />TOTAL ~'S8~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$28.48 <br />$28.48 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK <br /> <br />* THIS IS A VALID ~IT * THIS PE;NI'T 8(PIE~Sl.80 DAY~ FRON IT~ I,?xSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIODOF 180 DAY$. OR=IF,_qONSTRUCTION FALLS TOM EETALL <br />R.F.~J..IRE~IENTS OF STATE LANS ANDNARION ~SUILDING"AND ZONING ORDINANCES, THIS PESq~IT <br />~HALL 8L=CCt4E NULL AND VOID. <br /> <br />REMARKS= 2 CZR ELEC 4715..~56&9,, ............. .. <br /> <br />DONALD E. NOODLEY, t4ARION (%~UN"rY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />