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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGN..STREET NE <br /> SALEM, OREGOn97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M, <br /> <br />I am a registered builder OR ( ) the authorized representative <br /> <br />The work will be performed by a registered builder. <br />Other. <br /> <br />DATE: 04/20/87 TIME; 3:49:56p <br /> <br />OWNER: HANN, DARLENE <br /> <br />TA~ LO1 <br /> <br /> 105 FOREST STREET <br />0ETROIT <br /> <br />OR 97342 <br /> <br />CONTRACT C~TY; <br /> <br />USE OF GUILCING: <br />MA~LING ADDRESS: <br /> <br />SCHOOLS AND OTHER ~DUCATIONAL BUILDINGS <br /> <br />UGB; <br /> <br />CATEGORY: R <br />OCCUPANCY: <br />OCCUPANT LOAD: <br /> <br /> NO OF 9~DROOMS <br /> <br />PHONE: <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />1134 <br /> <br />LOT: 'BLOCK. EECT~ON: <br />WIDTH DEPTH: AREA: <br /> <br />TOWNSHIF;' RANGE: ' ZONE; MAP; <br /> 10 5E <br /> <br />UNITS: IRREG. LOT N; CORNER'. N <br /> <br />105 <br /> <br />TYPE.* ELECTRICAL <br /> <br />CONTRACTOR, NO. CRAHFORD <br />LICENSE NO: <br />N.CRANFORD ELECTRICAL CONTROLS <br />PO BOX 645 <br />STAYTON, OREGON 9?385 <br />PHONE: 769w943t <br /> <br />PERMIT OR APPLICATION NO: 1690 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> NILLIAN T. CPANFORD <br /> <br />: ELECTRIC::S[GN/OUTLINE LIGHTING <br /> FLEET SUI:~CHARGE -ZONE ? <br /> ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: W.CRANFORD ELECTRICAL CONTROLS <br />RECEIVED BY: dm <br /> <br />QUANTITY AMOUNT <br /> 1 $20.00 <br /> $8.96 <br /> $0.90 <br /> <br />TOTAL ASSESS. ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$29.?$ <br /> $0,00 <br />$29.75 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 2179 <br />TYPE: EL CHECK ~: ?28 <br /> <br />* 'tHiS IS A VALID I:EI:~,IIT * THIS DAYS FEON ITS ISSUE DATE. IF <br />CONSTRUCTION CF_/IGES FOR A FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAt'~ ZONING ORDINANCES, THIS PERi'lIT <br />.SHALL BF. CO~E NULL AND VOID. <br /> <br />REMARKS: SIGN,~ <br /> <br />OONALO E- WOODLEY, <br /> <br />OFFICE COPY <br /> <br /> <br />