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MARION COUNT~BUILDING INSPECTION <br />SE~ATO~BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 AM <br /> <br />I am p~rformin9 work on o property I own or occupy <br />I ~ffl a registered budder OR , : e au ho zed epresor~tative <br />of a registered buddor <br />The work will be performed by a registered budder <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />o(~- 01/21/99 TINE: 3:58:'12p <br /> 3ETROIT RANGER STATION <br /> <br />TA× LOT <br /> <br />CONSTRUCTION "fYPE <br /> <br /> 3-10s*Se N SANTIAM HNY <br /> OETROIT OR 97342 <br />USE OF PUli BIND <br /> <br />CONTRACT CITY UGB <br />NAR. tON COUNTY . NG <br /> <br />SUBDIVISION <br /> <br />3E-FROI]' RANGER DISTRICT <br />i,fC 60 BOX 320 MILL CITY <br />PHONE: 854 3366 <br /> <br />L CT BLOCK <br /> <br /> 97360 <br /> ,SITE NUMBER: 2618 <br /> VAUU,ATION: <br />SECTION TOWNSHIP RANGE ZONE <br /> <br /> ~ 0 LOT 5~ TO <br />ARE& ~ UNITS IRREG CORNER <br /> 100_000 AC NO NO <br /> <br />CATEGORY <br /> <br /> RES I DENT I AL <br /> <br />OCCUPANT LOAD <br /> <br />MAP <br /> <br /> ~ 04 <br /> <br />TYPE; l:~..,:u ~,i~CAL RERIV!IT OR ARA_TC.~i ION NO: <br /> <br />CONTRACTOR, NO. 591 <br />:,, ~' ]ENSE NO: <br />A C:: & E ELE,C <br />~3b:3 SILVERTON RD NE <br />SALDvl OR 973C3 <br />I-'HONE: 3~3-230 1 <br /> <br /> Z'FEM <br />RES ~RIBtG 1008 SO F7 <br />:SERV CBANGE OiWt. Y-.EXISTING RESZDENCE <br />FLEET SURCHARGE-ZONE ~ <br />ELECTRICAL. S'T~TE SURCHARGE <br /> <br />PAYEE,, A C & E ELEC <br /> <br /> 5366 <br /> <br />SUPERVISING ELEC?RZCiAN/N(,.hvtBER <br />ALLEN, LOUIS <br /> <br />QUANTITY AMOUNF <br />8 $240,0C <br />2 $40.08 <br /> $8_96 <br /> $14.00 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$30296 <br /> ~O.OC <br />$392.96 <br /> <br />BALANCE DUE $0,00 <br /> <br />RECEIPT NO: <br /> <br /> 6984 <br />~ECEIVE0 BY; c1 TYPE: OK CHECK ~: 2032 <br />* THIS IS A VALID PERNIT * THIS PER~IT EXPIRES 180 DAYS FROf4 ITS ISSUE DATE. IF <br />COA~TRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRLJCTION FAILS TO MEET ALL <br />REQUIRE]~IENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PE~IT <br />SHALL BECOHE NULL AND VOID. <br /> <br />RE'lARKS: 2 ,* 4- ALEX I_IN;(TS AND 2 S/C <br /> <br />DONALD E. MOOOL. EY, MARION COUNTY BUILDING OFFICIAL <br /> <br />OFFICE COPY <br /> <br /> <br />