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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 /> <br />Other <br /> <br />02/04/91 "F [IvtE; 13,;57:15 <br /> TAX LOT CATEGORY. <br />OLSON, R¢,~ ER I <br /> <br />RESIDEN'ti~L <br /> <br /> 9332 SAN'f'i~ LOOP <br /> AU~VI LLE <br />USE OF BUILDING~ <br /> <br />OR <br /> <br />..................... f,~ARi. C)N. OOUNTY - NU <br /> <br />OCCUPANT LOAD~ <br /> <br /> NO. 0F'B~DROOMS. <br /> <br />SUBDIVISION; <br /> <br /> PHONE: 364-2216 WK <br /> <br />LOT: :ec0ck; iSEC~0N: <br /> <br /> 5,[ 'I' E NUIV'Cd I~ R: 24~,2 <br /> VALUAT l ON: <br /> <br />AREA ' UNITS: RREG. LOT: CORNER <br /> NO NO <br /> <br />TYPE: ELEC'rRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />OLd, ROBERT <br /> <br />PERC41'T' OR APPLICATION NO: 30161 <br /> <br /> ~UPERViSING ELECTRiC[AN/NUNBER <br /> <br />PHONE: 384-2276 WK <br /> <br /> iTEM <br />RE5 WIRING < 1500 SQ,P"f' , <br />ELEC'I'RJCAL STATE SURCHARGE <br /> <br />PAYEE: 0~, ROBERT <br /> <br /> TOTAL~E"S~ED FEES <br />PRE¥IOUS RECEIPTS <br />THiS RECE[P'F <br /> <br />QUANTITY AMOUNT <br /> 1 $85.00 <br /> $4.25 <br /> <br />$89. ~5 <br /> $0.00 <br />$88_26 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEiP'I NO: 31876 <br /> RECEIVED BY: 0Y42 'TYPE: CK CHECK ~ 2360 <br /> <br />* THiS iS A VALID PEF$,IIT · THIS PERNIiT EXPIRE~ 180 DAY~ FRO~ ITS iSSUE DATE. IF <br />CONSTRUCTION CF_.A~E~ FOR A PERIOD OF 180:DAYS, OR IF CONSTRUCTiON FAiL~ 'FO ~EET ALL <br />REQUiREmENTS OF STATE I,.~A~:~D I~IARiON COUNTY BUILDING .N~DZONiN60RDINANCI~S, THIS PER~IT <br />~N-IALL BECO~IE NULL AND VOID. <br /> <br />REfflARKS.* REWiRiNG EXiSTiNG RES R~5830 <br /> <br />DONALD E. ~OOOLEY, ~4ARION COUNTY BUIlDiNG OFPiOIAL / 8Y ................. .~ .......................................................... <br /> <br />FORM # MC 15-56 REV, 4/90 OFFICE COPY <br /> <br /> <br />