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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 588-5147
<br /> CODE-A-PHONE 4:30 PM.. 8:00 A,M,
<br />
<br />Tile WOrk will be ,ed0rmed by s registered I~,ilde, q // ~-(~4.-
<br />I have reed and agree to the terms stated on the reverse side of DATE:
<br />thi~ document.
<br />
<br /> .)~,~ 097!~/'89 T~ME~
<br />OWNER:
<br /> t4OOD, ~A"FNE L
<br />
<br />2:06;08~
<br />
<br />TAX LOT: 0ATEGORY.
<br />
<br />OONSTRUOTION TYPE:
<br />
<br /> 7818 STONE?iELD CT
<br />I. UM,GV ! LLE OR 9'7325
<br />
<br />SAME
<br />
<br />~!qONE ~ ?~9.-2238
<br />
<br />SE
<br />
<br />CONTRACT CITY' UGB~
<br />MARION COUNTY NO
<br />
<br />STOi',! EF'~ ELD GLEN
<br />
<br /> SiTE NUMBER: ?828
<br /> VALUATION;
<br /> TOWNSHIP: RANGE: 2:ONE: MAP:
<br />
<br />5 - 39000 AC YES NO
<br />
<br />, y ,,,, EL, EC'f'RICAL
<br />
<br />CON'rRAC ~-OR¢ NO,
<br />LICENSE NO:
<br />NOOO, NAYNE L
<br />SAME"
<br />
<br />"~' ":: ~69-2235
<br />
<br />PERMIT OR APPLICATION NOs 9013~'98
<br />
<br /> LrPER tloS',lG ELECTRiCi,AN/i'4LblSER
<br />
<br />MCSIL. E HOME ,c,P.a. CE l.:\C
<br /> .08,; .E ,,OM~ CCN,~ ....
<br />FLEET SURCHARGE -ZONE
<br />.,,~., R,~,~._ : -T- SURC
<br />
<br />QL i a.N T :l TY A?'!O(.:!'} '?
<br />
<br />~R',~VIOL S RECEiP-S ,.'.'*, ....." "}
<br />THiS RECE]' PT ¢::''. ,,,, "", ·
<br />
<br />RECET.~>~ NO: , ,c',~,
<br />
<br />~ THIS IS NOT A PER~'fT THIS ,APPLZCATI'ON ,r4UST GO,THROUGH A' REVl'E~ PROCESS kHERE THE
<br />FOLLOWING MJST BE CO~P~_ETEO..' ';;[%,"[S THE:j;E REsPONstS'[L_'~'I~ OF ,THE APPLICANT TO ASSURE T'HAm
<br />ALL NECE'.'.'.'.'.'.'.'.'.'~SARY ];NFORt.IAT~ON HAS:,BEEN Pi~,, D D- '
<br />
<br />~.,AN RF',./I~: 8Y .......... DATE ........... CiTY ,JURISDICTION: SY .............
<br />
<br /> -,~,,f ,.&RK,~, ~4~'~ ,.:ERV~CE & CON R¢"777~
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<br />OFFICE COPY
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