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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 />¥,qX LOT <br /> <br />CONSTRUCTION TYRE <br /> <br />c~j~,~ST,.lcco UN T y <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF BEDROOMS <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br />F"HONE: 678"v5282 <br /> <br />SITE <br />VAI...UAT ZO <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE ZONE <br />WIDTH DEPTH AREA UNITS IR~iE~ LOT <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL PERMTT OR APPLTCATION NS: <br /> <br />47373 <br /> <br />COt~'fRAC'fOR~ NO. <br />L'J:CENSE NO: <br />SANCHEZ,¢ .JERA~: IN <br /> <br />SUPERVISING ELE CTF,.,I C [ AN/IILJME E F. <br /> <br />F'HOI'4E;~ 678- 5282 <br /> <br /> I T I:. J'i <br />SE:'RViCE/FEEI)ER LESS THAN 200 AMPS <br />![EAN[,H C. ikCU[i'.~ Wi1H SERVICE [IR FEEDER <br />ELECTRICAL STATE SLIRCHAI~¢E <br /> <br />QUANTITY Ai'"IOUHT <br /> 1 $50. o0 <br /> <br /> $;%00 <br /> <br />TOTA~ ASSESSE~ F~ES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$63,00 <br /> <br />BALANCE ~UE $0.00 <br /> <br /> PAYEE: SAI,iCHEZ, SERAFZN RECEIF"f NO= 496;59 <br /> FIECE~VED BY~ P~ TYPE= CA CHECK 4h~ 0' <br /> <br /> * THIS IS A VALID PERNIT * THIS PERNIT EXPIRES 18~ DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES~ THIS PER~I'f' <br />SHALL BECOME NULL AND VOID. <br /> <br />REHAF;.KS,,~ <br />I)ONALi) <br /> <br />SEE., 5 <br /> <br /> WOODI. E:Y.~ MAR[ON COLIhiTY BLII...D.I;NC OF~IC.]AL / BY <br /> <br /> OFFICE COPY <br />FORM # MO 15-58 REV <br /> <br /> <br />