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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 588-5147
<br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M.
<br />
<br /> of a registered builder.
<br />
<br /> DATE,: 03/18/88 TIME: 12:21:19p
<br /> OWNER: 'f'AX LOT; !~ CATEGORY
<br /> NI LSON, V1VIAN RES;[ DENTI AL
<br /> S~TUS AOORESS: i co~s'r~bf:r, ~y~: ~ OCCUPANCY:
<br />
<br /> 10772 LEVERiV~N RD SE i CONTRACT CITY; I UGh: I OCCUPANT LOAD:
<br />, AUMSVILLE OR 9?325
<br /> M...A, RION COUNTY ,,, N~
<br />
<br /> SAIvlE ~
<br /> PHONE; 749-1319 SITE NUMBER: ?t',,q?,,Z~,)
<br /> VALUAT I ON:
<br />
<br />LO11 : BLOCK: ................ ! ~'~il~' MAP:
<br /> ' ~ 5 00000 AC i NO ~, NO
<br />
<br />TYPE: ELECTRICAL
<br />
<br />CONTRACTOR, NO.
<br />LICENSE NO:
<br />WILSON, VIVIAN
<br />SANE
<br />
<br />PHONE: 749-I319
<br />
<br />PERMIT OR APPLICATION NO: ~
<br /> SUPERVISING ELECTRICIAN/NUMBER
<br />
<br /> ! TEN QUANT I TY AMOUNT
<br />THO OR MORE NEW CIRCUITS;ALT OR EXT 1 $20-00
<br />FLEET SURCHARGE -ZONE 3
<br />ELECTRICAL STATE SURCHARGE $1
<br />
<br /> : :,, , ,T, OTAL..;ASSESSE?: FEES $24.84~
<br /> ,,
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<br /> BALANCE ,DUE
<br />
<br />PAYEE: , , , :RECEIPT NO:
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<br />· : THIS IS A VALID PER~IT ~ THiS'B'cRM,~:T:,11!i'~KPI~E;S;:,,180:}BA''¢~ E~I:ITS I~JE DATE. IF
<br />CONSTRUCTION CEASES FOR A,Pc'RIOB FAILS TO MEET ALL
<br />REQUlRENENTS OF STATE LANS AND MARION OOMN~ ,B, UI,LD,[NG:':AND,ZON:Z'NG ORDINANCp'q. THiS PER~IT
<br />,.SHALL BECONE NULL AND VOID
<br /> , .,,::;:.
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<br />REHARKSi 2 CIR Rt:~9305 SELF ,':
<br />~ONALO E_ WOOOLEY, ~ARI~N GOUN'FY ~SY .......
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<br />r,o,u ,,, MC u>.~ .~v e/87 OFFICE COPY
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