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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH S~REET NE
<br /> SALEM, OREGON 97:301
<br />
<br /> PHONE 588-5147
<br /> CODE-A-PHONE 4:30 EM, - 8:00 A.M,
<br />
<br />DATE: 09/}~/8~ 'TIME': 10:26:5!8
<br /> ]ORAN ~ TOM
<br />
<br />~IGNATURE OF APPLICANT:
<br />
<br /> DATE: ....
<br />
<br />TAX LOT:
<br />
<br />COHSTRUCTION TYPE:
<br />
<br /> 9'15 CHERYL
<br />,"',,L: v!SV T ',, L.E OR 97325
<br />
<br /> CONTRACT OITY:
<br />
<br />AUMSV I L. LE
<br />
<br />UOB;
<br />
<br />NO
<br />
<br />OOCU PANT LOAD:
<br />
<br /> NO OF BEDROOMS:
<br />
<br />PO 8OX J85
<br />~L,~L I,,1I J¥ O~ 97385
<br />Pht"gN E: '76,9 .. "? 36 ~
<br />
<br />LOTI OLOCKr CECTION:
<br />
<br /> 3
<br />WIDTH: DEPTH: AREA:
<br />
<br /> 83 97
<br />
<br /> TOWNSHIp:
<br />
<br />25
<br />
<br />SUBDIVISION;
<br />
<br /> SITE NUC¢CER: 8'!8B
<br /> VALUATION:
<br />
<br />80 2N RS
<br />SF YE3 NO
<br />
<br />MAP:
<br />
<br />TYPE: EL ECTR ii-;AL
<br />
<br />PERMIT OR ,APPLICATION NO:
<br />
<br />· CON-FRAC, TOR, NO_ 2075
<br />LICENSE NO:
<br />NORTHSI0~ ELECTRIC [,r'.JC:
<br />PL) DOX ?s24
<br />%A_EN!, ORFGON 9'7:303
<br />':'140"; E - 393'.5559
<br />
<br />18784
<br />
<br />SUPERVISING ELECTRICIAN/NUMBER
<br />ARL!N E, AIJ~, ,,.~,.,)hJ /1~7~S
<br />
<br />JUANT i TY AMOU',,: f"
<br /> $ 0, '7 '.~
<br />
<br />TO'TALASSESSED FEE~
<br />PREVIOUS RECEIPTS
<br />-H.[S RECEIPT
<br />
<br />BALANCE' DUE
<br />
<br />:~AYEE: KORTFSIDE ELECTR!~ II,~J~ ,,,, ,, 'RECEIPT NO: !9gl5
<br />RECEIVED r~y DM ~, ,,," , , ~. '~'~'': SK CHECK ~: 76!3
<br />
<br />* THZS ZS A VALZB ~E~ZT ¢ ~S',~E~T ~ES,;tS0,,,DA~',,~F~ ,ZTS ~S~E DATE, ~F
<br />~ST~CTI~ C~ FOR A~ P~",OF '?80",DA~'i",'OB'"~ZE ~SZ~CTI~ FAILS TO MEET ALL
<br />~E~JIR~TS OF STATE ~ ~D ~[~',~N~,SUILDI~G,,,~B' Z~NG ORDIN~CES, THIS PE~IT
<br />~ALL BB~E NULL ~B VO~B.J~'/, .... ti, A:' ,,, ' , ,'
<br />
<br />'W"N.a' O ~. ~OOD~..Ev, MARION COU,N~Y
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