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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />22~'HIGH~TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM, - 8:00 A.M, <br /> <br />I arC performing work on aproperty I own or occupy, <br />I am a regi~ored builder OR ( ) the authorized repreeentative <br />of a registered builder, <br />The wor~ will be performed by a registered builder, <br />Other <br />I have read and a~'~ t"'-o the terms stated on the reverse side <br /> of <br />this document. <br /> <br />ow~TE: 047'26/89 TIME: <br /> <br /> DEVLIN, CHRIS J <br />S~TUS ADDRESS: <br /> <br />90260-000 RESIDENTIAL <br /> <br /> 270 KINNEY AVE <br /> DETRO[T <br />UBE OF BUILDING. <br /> <br />OR 97342 <br /> <br />CONTRACT CITY UCB OCCUPANT <br /> <br />3~TROIT NO <br /> <br />NO, OF BEDROOMS <br /> <br /> PAT:F. ON 2ND,ADDN.. <br /> 3767 CHERRY NE <br /> KEIZER <br /> PHONE: 393-4436 SITE NURSER: 5660 <br /> <br />LOT. BLOCK: SECTION TOWNSHIP R'A~I"'~J~t~"~4':'ZONE, ' ...... <br /> <br /> DEPTH 1 AREA: UNITS 1 0 RREG. LOT 5E CORNBR ~ 1 0 5' <br /> <br />92, 100 9200.00 SF NO NO ..... <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />DEVLIN, CHRIS J <br />3767 CHERRY NE <br />KEIZER <br />PHONE: 393-4436 <br /> <br />PERMIT OR APPLICATION NO: 15395 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />BALANCE DUE <br /> <br /> ITBN <br />MOBILE HONE SPACE (SVC EQUIp) <br />NOBILE HONE CONNECTION <br />FLEET SURCHARGE -ZONE ? <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: DEVLIN, CHRIS J <br />RECEIVED BY: cl '!': ': <br />~ THIS IS A vALID PER,lIT ~ <br />CON~TRUCTION'CE./~E~ FOR <br />E~IR~TSOF STATE ~ <br />~LL 8~E NULL ~D <br /> <br />OUANTITY AMOUNT <br />1 $25.00 <br />1 <br /> ~8.96 <br /> 2.50 <br /> <br />$61.46 <br />$~5.21 <br />$26.25 <br /> <br />$0.0C <br /> <br /> 16420 <br />CHECK ~: 0 <br /> <br /> DATE. IF <br />~AIL~TO MEET ALL <br /> <br />DONALD E. NOODLEY, MARION COUNTY NG OFE~Qi[AL Z.~y <br /> <br />THIS PE~4I T <br /> <br />FORM C' MO15-56 nE',411/88 OFFICE COPY <br /> <br /> <br />