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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STRPET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588¢.5147 ~ 8:00 - 4;80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy, <br />I 8m~.registeredbuilderOR( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other_ <br /> <br />ow~A'rE: 08/28/91 riME: 15:19:35 <br /> <br /> JIMCO F,f¢.,~C,~ O0 <br />SITUS ADDRESS <br /> <br />'c~ LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 88'~0 AUFrSViLLE HNY <br /> AU~Vi LLE OR 97325 <br />USE OF BUILDING'. ' ' <br /> <br /> 2ONTRACT CITY: <br /> <br />AUMSVI LLE <br /> <br />UGB: <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD: <br /> <br /> 892~ ,~!~HAW SQUARE RD <br /> AUivCViLLE 97325 <br /> PHONE: 364-1919 <br /> <br />LOt @LOCK. <br /> <br />170 <br /> <br /> SECTION <br /> <br /> AREA: <br /> <br />2.25 <br /> <br />SITE NurflBER: ~0662 <br /> <br />'UNIT~ .........~ ~'~-~-"EO~' ' ~W ' 'CO~NER: ID <br /> <br /> SF YES~ NO <br /> <br />TYPE: ELECI'RICAL <br /> <br />CON'FRAC'FOR, NO. <br />LICENSE NO: <br />KEIZER ELEC <br />~ BOX 7246 <br />SALEM OR 97303 <br />PHONE: 378-0267 <br /> <br /> PERNi'f' OR APPLICATION NOt 34717 <br /> <br />14357 SUPERVIS.[ NG EL E:'C 'f' R .f, C 1 AN/NUIVI~ ~ R <br /> MiKE ~-411'TAKER 1579-~ <br /> <br /> I 'rE.~ <br />SERVICE/FEEDER 101 TO 400 AMF"S <br />ELECTRICAL SLATE SUR'CHARGE <br /> <br />PAYEE: KEiZER ELEC <br /> <br /> qJANrlTY AMOUNT <br /> 1 $60.00 <br /> $3.00 <br /> TOTAL A88~E~FEES $63.00 <br /> PRE¥1OU$ RECEIPTS $0-00 <br />' : THIS RECEIP'F $63.00 <br /> <br /> BALANCE DUE $0.00 <br /> <br />RECEIPT NO; 36601 <br /> <br /> RECEIVED 8Yr DM .................. ;R .......................................................... I'YPEzCK CHECK ~: 7?8? <br />* THIS I$ A VALID PER,lIT *~iTHIS P~R~qIT EXPiRE~ 180 DAY~ FROIW ITS ISSUE DATE. iF <br />CONSTRUCTION CEA,.,,~ FOR A PERiODOF18D DAY~,ORIFCONSTRUCTiON FAIL~ TO MEET ALL <br />I;~E(~XJI~v~],4TS OF STATE LAh~:AND IvlARIONC~XJNTY BUILDiN~AND ZONING ORDINANCE~S, THI~ PERMIT <br />~HALL BE:~COI~iE NULL AND VOID. <br /> <br />REMARKS: NEW SERVICE R~ 3~56 <br /> <br />OONALD E. ~3ODLEY, ~ARION COUNI'Y BUiLDiNG OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />