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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 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 / ~ ¢.,'"__~ <br /> am performing work on a property I own o¢ occupy. <br />am a registered builder OR the authorized representative SIGNATURE OF APPLICANT.' ~...¢.,.~ <br />of a registered builder, t~_ <br /> <br /> have read and agree to the terms stated on the reverse side of DATE; <br /> <br /> OWN~A'TE: O'?/OS/gl TIME.* 10:10z44 TAXLOT: iCATEGORY: <br /> <br /> S~TUS ADDRES~REI I ~,NI~USM C~UN [')'Y <br /> CONSTRUCTION TYPE: [ OCCUPANCY; <br /> <br /> BREi'FENgUSH UPPER RESOR'r ~E <br /> DE FRO1 T OR , <br />USE OF BUILDING: ~ARIC~ 'COUNTY' <br /> <br /> PO BOX 5?8 <br /> DE f ROI 'f' 9?342 <br /> PHONE: 854-3501 <br />LOT: gLOGK: <br /> <br /> SITE NUMBER: 2548 <br /> : ~ECTIONi , fbWN~,i[¢; , <br /> <br />WIDTH: DEPTH: [ ,~R~Xi 20 ' ':~fSl 9S '?E' :86~b~: L }02 <br /> ~ ' 6 Nf;), <br /> <br />fY°E: ELECTRICAL PERNIY' OR APPLICAI'ION NO: <br /> <br />33482 <br /> <br />CON'fRAC'TOR. NO. 48550 <br />~-£C~NSE NO: <br />SPARKY ELEC'FRtC CO. <br />'?53? LAKESIDE 0RIVE NE <br />SALE~, OR 9'?305 <br />PHONE: 39~.2~(D4 <br /> <br />SUPERVISING ELEC'fRJC~,Aht/NUIVtJER <br />!JUANE VAUBEL ~2540S <br /> <br />~IRAN~I CIRCUI'fS ~,, TWO TO '/EN <br />EL.~RICA.. ~fA~E SURCHARGE <br /> <br />PAYEEr SPARKY ELEC'f'RJC C~- <br /> <br />QUAN'] .[ f'Y ,tUv~OUN I' <br /> ! $50.00 <br /> $2.5o <br /> <br />'FO:FXL ASSESSED :FEES <br />PREVIOUS RECEi P'T'S <br />THiS RECEIPT <br /> <br />$52,5~} <br /> $0. U0 <br />$52,50 <br /> <br />~AL~NCE DUE $0.00 <br /> <br />RECEIVED BY: CL <br /> <br />35301 <br /> <br /> ................................ ;._.._,.~_ ...................................................... TYPE: ,~-K CHECK :~: Er; ¢¢:¢ <br /> THIS iS A VALID PERMIT THIS' PEI~4iT ~XPIRES 180 :~:F~ ITS I~E DATE_ IF <br />~ST~C'TI~ C~ ~R :A BERIOD OF 180 ~, OR iF ~sT~CTI~ FAiG TO M66'r ALL <br />RE~IR~TS OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~ING ORDiN~C~, THiS PE~1~ <br />~ALL 8E~E NULL ~O VOID. <br /> <br />REMARKS: 2-10 CIR SHOP U~I <br />DONALD E. WOOOLEY, ~ARION COUN'¥¥ BUiLDiNG OFF'iCZAL /BY . ................... ~ ......................................................... <br /> <br />~o~ ,~ ~c 1 ~-~e R~v, 4mo OF FICE COPY <br /> <br /> <br />