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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 /> Other . , <br /> <br /> CATE: 10/05/87 TIME: 2:27:23p <br /> <br />OWNER; NIL.SON, VIVIAN <br /> <br />10772 LEVERFiAN RD <br /> <br />] fAX t~Of: [t~T~ORY COlVlMER i ~AL <br /> <br />AUfefSV I LLE <br /> <br /> RESIDENTIAL ACCESSOF~f STRUCTURES <br /> <br />PHONE: 749-1319 SITE NUIV~ERt 2?28 <br /> VALUAT I ON: <br /> <br />LOT: i{]LOCK: <br /> <br />WIDTH: <br /> <br />OCCUPANT LOAD: <br /> <br /> 32 8S 'IW AR 48 <br />iDEPTH: iAREA: 5.00000 iUNITS'. AC ', IRREg. LOT: NO iCORi~l~'' <br /> <br />TYPE: ELECTRICAL PERIVfIT OR APPLICATION NO: 4800 <br /> <br />CONTRACTOR, NO. SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE <br />NiL.SON, VZVIAN <br />SAME <br /> <br /> PHONE~ 749-~319 <br /> <br /> ZTEM QUANTITY AMOUNT <br />C/[ SE~,RV 101~200 AMPS 1 $50,00 <br />FLEET oURCHARGE -ZONE 8 $~.84 <br />ELECTRICAL STATE SURCHARGE $2.50 <br /> TOTALASS~SSEO FEES $58.34 <br /> ipREVtQOS ~ECEIPTS $0.00 <br /> I~qlS: RECEIPT $56.34 <br /> <br /> ' ' ':' ECEIPT NO 5855 <br />PAYEE; WILSON. VIViAN ; .' , <br />RECEIVED BY; pb <br /> <br />· THIS IS A VALID PEt;i~IT z:::::~'THIS PE.R~,IT EXPIRES!,:]i:D0;~:DAY~ FR~:ITS ISSUE DATE. IF <br />OON~'~C~OTION C~ FOR A;PERIOD iO~' :1801 I)AYS~:J,'OR.i;IE;':~i~2NSTRUCTI~N FAILS TO ~EET ALL <br />REQU[RENENTS OF STATE LAN~ AND IvWkRION COJN~'BU~[N~iANO;~ONING OROIN.aJ'~ES, THIS ~ZT <br />SHALL BECOME NULL AND VOID <br /> <br />REMARKS; FOR BARNS & POLE 8LOG & PO~OS ~:'~ <br /> <br />~)NALO <br /> <br />.OhM ,, MC ~-~,~ .Er e/8~ OFFICE COPY <br /> <br /> <br />