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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO 22,5 <br /> 220 HIGH STREET NE" <br /> SALEM: OREGON 97301 <br /> <br /> PHONB:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Othor <br /> <br />SIGNATURE OF APPUCANT <br /> <br />owN~2~ f E: 03/22/9] <br /> <br /> ZACHER, RiCK <br />SITLIS ADDRFS$ <br /> <br />RESI DEN I IAL; <br /> <br /> 12422 PRY RD NE <br />AURORA OR 97002 <br /> <br />MARION C(,,NJN l Y NO <br /> <br />PHONE: 6?8-506? SiTE NUMBER: 5991 <br /> VALUA ~- I ON: <br /> <br />62. AC NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLiCA]iON NO: <br /> <br />31096 <br /> <br />CONTRACTOR, NO. 50829 <br />LICENSE NO: <br />JR ELECTRIC <br />9G ~OX 265 <br />HUBBARD, OREGON 97032 <br />PHONE: 981-391~ <br /> <br />SUPERVIDING ELE.CfRICIAN/NUFABER <br />J~EPH V. 0RYOEN : 3138S <br /> <br />SERViCE/FEEDER 100 AMPS OR <br />PIJ~P OR iRRiGAtiON CIRCLE <br />CLECf R~CAI. 5 fA f ~ SD,%~CHARGE <br /> <br />~UANTiiY ,AMOUNT <br />] SSS,oD <br />~ $36.oo <br /> <br /> IOfAL ~E~ED FEE5 ~7A_55 <br /> PREY i OUS RECEIP fS $'f4.5b <br /> 'THIS RECEIPT <br /> <br /> 8ALANC~ rite <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: DM2 TYPE: CHECK ~: 0 <br /> <br />~ THIS IS A VALID PERMIT m THiS PERMIT E~PIR~gS 180 DAY'S FRO~I ITS iSSUE DATE+ iF <br />O3NSTRUCI'I(~ CF_J~.SES FOR A PERIOD OF lB0 DAYS, OR IF ~T~CTi~ FAi~ TO Rg~T ALL <br />~IR~TS OF STAT~ ~ ~D ~RI~ ~NTY BUILDING ~D Z~ING OROIN~C~, THiS P~I'I <br />~ALL 8~ NULL ~D VOID. <br /> <br />RD. MARKS:: ~ERV/~AJMP R~7308 <br /> <br />D%)NALD g. WOODLEY, MARION COUNIY BUILDING OFFICIAL <br /> <br />FORM # MO 15-5"5 HEY 4/90 OFFICE COPY <br /> <br /> <br />