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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 /> <br />I am performing work on a proper y I own or occupy ~/~ <br />I am a registered builder OR the authorized represen a ye SIGNATURE OF APRL CANT: <br />of a registered builder, <br />The work will be performed by 8 registered builder. <br />Other~ <br />[ have read and agree to the terms stated on the reverse side of DAT6; <br />RSS document. <br /> <br />DATE: 04/01/88 TIME: <br />OWNER: <br /> <br /> HALL, IB.~IELL <br />S~TUS ADDRESS: <br /> <br />2:15;39p <br /> <br />fAX ~.Of: CA'rE6OR¥: <br />' CONSTRUCTION TYPE: OCCUPANCY; <br /> <br />RESIDENTIAL] <br /> <br />AUNSVI LLE OR 97325 ~ I <br />use OF BUILDING: AU~¥ILL6 NO , <br /> <br />3322 BLUFF SE <br />SALEM <br />PHONE; 364-5666 <br /> <br /> LOT: , BLOCK: <br /> <br /> I 5 <br />:WIDTH: 'DEPTH: <br /> 100 <br /> <br />5O <br /> <br />I SUBDIVISION: <br /> <br /> ~ERR.I EZELD ADEN <br /> <br /> SITE NUIVBER: 2586 <br /> ' VALUAT ION: <br />!TOW~HIP: ', RANGE; , ZONE: MAp: <br /> <br />UNITS: ! IRREG. LOT~ !CORNER <br /> <br />TYPE: ELECTRICAL <br />ODNTRACTOR, NO. 'r~4 ~ <br />LICENSE NO: <br /> <br />~E <br /> <br />PHONE: 364-5666 <br /> <br /> ITEM <br />RES WIRING < 1000 SQ FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NOt 7592 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY A~OUNT <br /> $30,00 <br /> $3.84 <br /> $~-50 <br /> <br />P~EVIOUSRECEI~TS <br />THIS RECEIPT <br /> <br />$35.34 <br /> <br />$35,34 <br /> <br /> ~,-~ %._ ~ F~ ~ ~ O_...~[tt~' ' BALANCE DUE $0.00 <br />PAYEE <br /> ---- <br /> ~ECEIPT NO: 8234 <br /> RECEIVED BY: CL lqFPE: OK: CHECK ~ 6521 <br /> <br />* THIS IS A VALID PERMIT * 'THIS PERNIT:,~iRB,18d pDAYS, ~RON ITS ISSUE DATE. IF <br /> <br />REIVC. RKS: RES <br /> <br />DONALD E. NOODLEY, MARION COUNTY 8UILDINGOFF:ICIA~ __ ...................... <br /> <br />FORM '~ MC 15.56 R[V tUB? OFFICE COPY <br /> <br /> <br />