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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />~0 HIgH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 8::00 A.M <br /> <br />Other __ <br /> <br /> DAT['.; 0S/2~./89 TIME: <br />OWNER <br /> <br /> ~. ~CI¢~U HAZELNUT F,ARHS <br /> <br />COHMERC I ~t' <br /> <br /> 14873 OT7OWAY NE <br />,'~U RORA OR 97002 <br /> <br /> OONTRACT CfTY <br /> <br />ALJ R-'ORA <br /> <br />uGS <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br /> %A~VlE <br /> <br /> PR,~ON E: <br /> <br />LOT <br /> <br />678.~2758 <br /> <br /> BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br />SITE NL fY/DER ,, *;506 <br />VA LU ~.T I ON: <br />RANGE ZONE <br /> <br />IRREG LOT f.¢ORNER <br /> NO NO <br /> <br />TYPE: ELECTRI'CAL PERIVII'I OR /~PPLICAT;ON NO: <br /> <br />CONTRACTOR, NO. 50829 <br />LICENSF NC?: <br />.IR ELECTRIC <br />PO BO× 266 <br />HUBBARD, OREGON 97032 <br />~>HONE: gs1.,39!3 <br /> <br />SUPERViSiNG ELECTRIOIAN/NUI~BER <br />,JOSEPH V_ DRYDEN : 3~388 <br /> <br /> [ T <br />TWO OR [CORE NEW ClRCUITS~ALT OR EXT <br />FLEET SLI.,.,.RCHARGE -ZONE 8 <br />ELEC'r'RIC~L STATE SURCHARGE <br /> <br />QUANTITY' AN!CUNT <br /> $39 0(" <br /> <br /> $150 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $o o3 <br />$39 ~ 8 <br /> <br />BALANCE DUE $0 OC <br /> <br />PAYEE: JR ELECTRIC RE}E[P'T NO: 19512 <br />RECEIVED 8Y c-! TYPE: OK CHECK a: ~ 8 <br />~ ~IS IS A VALID PE~IT ~ ~IS PE~IT ~PIR~ 180 DAYS FROM ITS IS,SUE DATE. IF <br />CONST~CTI~ CEAS~ FOR A P~IOD OF 180 DAYS, OR IF CONST~CTI~ FALLS TO ME~ ALL <br />REdIReCTS OF STATE ~NS AND I~[ARI~ COUNTY BUILDING AND Z~ING ORDINANCe, THIS PE~IT <br />SHALL 8ECOf4E NULL~D VOID. <br /> <br />REMARKS:: 2 CIR R~7725 <br />OON~LD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y ..... ~_ ................ <br /> <br />COPY <br /> <br /> <br />