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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 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />I am performinfj work on a property I own or OCCUpy <br />Iarn u registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br />Of a registered builder. <br />The work will bo pedormed by a registered builder, <br /> <br />f t~ave read and agree to the terms statod on the reverse side of CATE: <br /> <br />OWNiN~!'E: 12/14/90 ']I'Ii~E: 14:21:02 <br /> RU.SSELL, I~i LBURN <br />SITUS A[)DHE SS: <br /> <br />?5O6O-090 <br /> <br />R~,'~ I DEN'[' i AL <br /> <br /> 7731 'rERRANCE LANE <br />AUIvfSV/LLE <br /> <br />US6 OF BUILDING: <br /> <br />OR 9?325 <br /> <br />¢4AR ION, COUNTY NO <br /> <br />OCCUPANT LOAD: <br /> <br />2130 COLE RD S <br />SALEM OR 97306 <br />PHONE.' 3'10-9107 <br /> <br />LOT: BLOCK: <br /> <br /> CEPTH: <br />137 234 <br /> <br />SECTION; TOWNSHIP: <br /> <br /> 26 8~. <br />AHEAI UNITS: <br /> 32058. <br /> <br />: SUSCIVISK~N; <br /> <br />I'ERRANCE SUBDIViSiON <br /> <br />SiTE NUt4BER: 8645 <br />VALUAT I ON: <br />RANGE: ZONE: <br /> <br /> 2N AR <br /> IRREG. LOT: CORNER: <br /> NO NO <br /> <br />MAP: <br /> <br />61 <br /> <br />TYPE; ELECTRICAL PERfflIT OR APPLICATION NO; <br /> <br />29240 <br /> <br />CONTRACTOR, NO- 34211 <br />LICENSE NO: <br />D g ELECTRIC MOTOR SERVICE <br />519 CENTER S'l' S <br />SUBLiNITY, ORE 9?385 <br />PHONE: 789-2042 <br /> <br /> PERVIS[NG ELECTRiCIAN U ER <br /> <br /> iTEl4 <br />BRANCH CIf~3U1'r.q - ONE <br />ELEC'fR[CAL STATE SURCHARGE <br /> <br />QUAN'I' l TY <br /> 1 <br /> <br /> $35.00 <br /> $~. 75 <br /> <br /> TOTAL ~P. TSS. EO FEES <br /> PREVIOUS RECEi PT~ <br /> THIS RE~Ei PT $35.75 <br /> <br /> BALANCE ~g $0. O0 <br /> PAYEE: O 0 ELECTRiO ~TOR SE~I6E R~6gIP'f NOt <br /> R~CEiVgO BY: PR TYPE: OK CHEOK 8: 6570 <br /> <br />~8'fBOTi~ O~B F~ A PERiO0 OF 180 OA~¢ ~ iF ~8TBOfi~ FAI~ fO ~EET ALL <br />R~IRBB'fS OF STATE ~ ~D ~RI~ ~NTY 8UILDIN8 ~D Z~iN60BiN~O~, fHI8 PEBIT <br />~ALL BEdE NULL ~O VOID. <br /> <br />REI~ARK,~: 1- CIR FOR DRYER R,I~3439 <br /> <br />~ALD E. WOODLEY, t4ARION C~JN'rY BUiLOING OP'P'IC1AL. / 8Y .................................................................................... <br /> <br /> OFFICE COPY <br />FORM/¢ MC 15-56 REV, 4~30 <br /> <br /> <br />