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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 $88-5147 <br />CODE-A-PHONE 430 PM - 8 00 A.M <br /> <br />HURLEY, GENE <br /> <br />SIGNAYU~E OF APPUCANT <br /> DATE <br /> <br />VAX LOT <br /> <br />, SlTUS ADDR~0 FOREST ST <br /> DETROIT OR 9?342 <br /> <br />DETROIT NO <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> PHONE: 854-3433 <br /> <br />SITE NUI~ER: <br /> VALUATION: <br /> <br /> ~T <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />8917 <br /> <br />TYPEt ELECTRICAL <br /> <br />PEP~IT OR APPLICATION NOt <br /> <br />15011 <br /> <br /> ZONE MAP <br />NO NO <br /> <br />CONTRACTOR, NO. 4483? <br />LICENSE NOt <br />WATERMAN ELECTRIC <br />204 NO. WATER <br />SILVERTON, OREGON 97381 <br />PHONE: 873-527E <br /> <br /> ITEm <br />TWO OR MORE NEW CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE ? <br />ELECTRICAL STATE SURCHA,~E <br /> <br />PAYEE: NATERPC¢4 ELECTRIC <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />JOE WATERMAN <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY 4~OUNT <br /> 1 $30.00 <br /> ~8.g~ <br /> 1.50 <br /> <br />$40_46 <br /> <br />$40 <br /> <br />BALANCE DUE $0_00 <br /> <br />RECEIPT NO: ~5942 <br /> <br />REJEIVED SY: CL TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 DAYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION C~FTq FOR A PERIOD OF 180 DAYS, OR IF ~TRUCTION FAILS TO MEET ALL <br />~QUIRENENTS OF STATE LAWS AND MARION C~XJN~ BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: 2 CIR/ GROCERY STORE <br />DONALD E. WOOOLEY, Iv~ARION COUNTY BUILDING OFFICIAL / BY .............. _~ ......... <br /> <br />OFFICE COPY <br /> <br /> <br />