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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />920 HIGH STRFET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I ar11 perforr'hing work on 8 property I own or ocEupy. <br />I ama registered builder OR( ) the authorized regfe~entative <br />of a registered builder, <br />The work will be performed by e registered builder. <br /> <br />I have read and agree to the terms stated on the reverse side of <br /> <br />ow~,~it'E: 0'I/17/90 'f'tr4E: t0:41.-55 <br /> <br /> JOHN~, ,C'ATRi GIA <br />S~TUS ADDRESS: <br /> <br />CONSTRI~CTION <br /> <br /> 885 6~H S"t ~0t~'r¢,,~C~ ¢~y; <br />AUIVI~.V l LLE OR 97325 i'~Ut'4SV I LE'~ <br /> <br />PO BOX 722 <br />AUI~SVILLE OR 97325 <br />PHONE: 749-1987 <br /> <br />90050-350 <br /> <br /> UG~ <br /> <br /> NO <br /> <br />8 <br /> <br /> 70 <br /> <br />CATEGORY: <br /> <br /> R ES i QEN T ]~ AL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />FAIR OAKS ESTATES <br /> <br />MAP: <br /> <br /> 51 <br /> <br />TYPE; ELEC'f'RICAL. <br /> <br />CONI'R~CI'OR, NO. <br />LiCeNSE NO: <br />JOPiN.%~, PA'I'RiCiA <br />PO BOX 722 <br />AUMSV/LLE OR 97525 <br />PHONE: 749-196'7 <br /> <br />PERMIT OR APPLiCATiON NO: 25477 <br /> <br /> SUPERViSiNG 6L~CI'RICtAN/NUMBER <br /> <br />'TOTAL~ED FEES <br />PR~¥iOUS RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE CUE <br /> <br />ON~ N~N B~CH OZRCUi'I';Ab'rER O~ Ex'r~D <br />ELEC'fR~OAL STATE f~JRCHARGE <br /> <br /> QUANTITY APIC~JNT <br /> $20.00 <br /> <br /> $1,00 <br /> <br /> ~24,84 <br /> 24,84 <br /> $0,00 <br /> $0.00 <br /> <br />aaCalP'I' NO: <br />CHECK ~; O <br /> <br /> PAYEE: <br /> RECEIVEO BY: I:~ TYPE: <br /> <br />~ THIS IS A VALID PEI;~II~ ~ THISP~I~II~ EXPIRES 180 DAYS FR0~I iTS I,%~UE OATE. IF <br />CONSTRUCTION CEA~i~5 ~ A ~RlOD OFISO ~, OR IF ~T~CTI~ PAI~ TO REET ALL <br />R~I~TS OF ~TATE ~ ~O:~RI~ ~NTY ~ILDIN6 ~0 Z~ING ORDIN~C~. THIS PE~IT <br />~ALL B~E NULL <br /> <br />[X3NALQ E+ NOOOLEY, It~ARiON COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />