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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 588-6147 <br /> CODE-A-PHONE 4::30 P,,M,, - 8::00 AM ~,-"~,~' <br />f ~m performing work On a property I own Or OCCupy ~ "/'~~~'~ <br />Ct a reg ~tered bui dot, <br /> <br />DATE: 05/20/R8 TIME: 11 <br />OWNER TAX LOT i CSTEGOmY <br /> J ~'iNSO[NI, E~-RL <br />S~FUS ADDRE~S ' CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESIDENTi4L <br /> <br /> 8?54 MILL CREEK RD SE CONTRAOT¢ITY !UGB ,OCCUPANTLOAD <br />AUMSVILLE, OREGON OR 97325 i <br /> · NIARION COUN%Y.. i NO <br /> <br />PHONE: 749-2801 SITE NUMBER: 42?5 <br /> VALUATION: <br /> <br /> 26 BS 2N + EFU <br /> 25.0000 AC NO NE) <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />JOHNSON, EARL <br />SAME <br /> <br />749-2801 <br /> <br />PERMIT OR APPLICATION NO: 8631 <br /> <br /> SUPERVISING ELECTRICIAN/NUMSER <br /> <br /> ;TEM <br />MOBILE HOME SPACE (SVC EQUIP) <br />,~]SILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FE~ <br />PREVIOUS RECEIPTS <br />THiS RECEZPT <br /> <br />0UANTITY ~MOUNT <br />1 $20,00 <br />1 <br /> $3,84 <br /> $2.oo <br /> <br />$45,$4 <br /> <br />~9ALANCE DUE $0- 0¢ <br /> <br />PAYEEr JONNSON, EARL RECEIPT NO; 9292 <br /> <br />RECEIVED BY= ××× TYPE: CK CHECK ~: 769 <br />~ THIS IS A VALID PERI, lIT · THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE BATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />RE(~JIRE~4ENT8 OF STATE LA~ ~4~D ~RION (X)UNTY BUILDING ~D ZONING ORDIN~CES, THIS PE~4IT <br />SHALL BECO~4E NULL AND VOID. <br /> <br />REMARKS: SERV & CONN R~6157 <br /> <br />DONALD E, WOODLE¥, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o.~ ~ ~c ,* ~,~ ~ 6,~ OFFICE COPY <br /> <br /> <br />