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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />~;-ODE-A-PHONI= 4::30 PM - 8 O0 A..M <br /> <br />of a re~isterod builder <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />11/29/89 TIME; 10:29:07 <br /> <br />TAX LOT <br /> <br />s,~us A00~,'~EGLER' HENRY <br /> <br /> 410 SANTIAN HNY <br /> DETROIT <br />USF OF BUILDING <br /> <br />OR 97342 <br /> <br /> CONTRACT CiTY <br /> <br />DETROIT <br /> <br />SUSDWISION <br /> <br />CATEGORY <br /> <br />OCCUPANCY RESIDENTIAL <br /> <br />OCCUPANT LOAD <br /> <br />PO BOX 5262 <br />PHONE: <br />LOT BLOCK SEOTION TOWNSHIP <br /> <br />WIOTN DEPTH AREA UNITS <br /> <br />SITE NUMBER: 8940 <br />R',~UAT I ON: zoN~ <br /> <br />IRREG LOT CORNER <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION NO** <br /> <br />20514 <br /> <br />CONTRACTOR, NO. 44248 <br />LICENSE NOt <br />CONSUMER PONER INC. <br />P.O.8OX 1180 <br />PHILOI',IATH, OR 9?370 <br />PHONE: 929-3124 <br /> <br />,~PERVISING ELECTRIOIAN/NUIC~ER <br />3060-S <br /> <br /> ITEr4 <br />ONE NEN BRANCH CIRCUIT;ALTER OR EXTEND <br />FLEET SURCHAROE -ZONE ? <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY ANOUNT <br /> t $20-00 <br /> $8.96 <br /> $1.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$29.98 <br /> $0-00 <br />$29_9~ <br /> <br />PAYEE: CONECJMER PONER INC. <br />RECEIVED BY: P8 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 21772 <br />TYPE: CA CHECK ~: 0 <br /> <br /> THIS IS A VALID PERNIT * THIS PER~IT EXPIRES 180 DAYG FROM ITS IEx.~UE DATE. IF <br />CONSTRUCTION CF_.A~ES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REOUIRE~IENTS OF STATE ~ AND NARION COUNTY BUILDIN6 AND ZONIN6 ORDINANCES. THIS PERNIT <br />.~HALL BECO~IE NULL AND VOID. <br /> <br />RESV*RKS: 1 CiR R~6331 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o~ ,, ~(; ,'.., ,c., t,e', OFFICE COPY <br /> <br /> <br />