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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STF~EET <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 perfo ~r~irl~ work on a property I own or occupy, <br />I am a regt~ er~d bu der OR the authorized representative <br /> of a registered bulider. <br />The work will be performed by a registered builder. <br />Other <br />I I~ave read and agree to tf~e terms stated on the reverse side of <br /> <br />SIGNATURE OF APPLFCANT: <br /> DATE~ <br /> <br />OWNERDA'T'E: 03/15/91 <br /> <br />SITUS ADDSESS: F'ERY, DE. NNI~. <br /> <br />TIME: 16:05:46 <br /> <br /> 10748 S'rAYTON RE} <br /> AUrqSVI LLE <br /> <br />USE OF BUILDING: <br /> <br />OR 9?325 <br /> <br />~E <br /> <br />f4AR i r,~ ~rCl'Y <br /> <br />SUB01VISION <br /> <br />CATEGORY: <br />:OCCUPANCY: <br />iOCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS <br /> <br />?69-6983 <br /> <br /> BLOCK. <br /> <br />DEPTH: <br /> <br />SECTION rOWNSH <br />ASEA: UNITS <br /> <br /> SiTE NUIV~ER: <br />RANGE VALUA'r I~]~ ~ONE: <br /> <br />10085 <br /> <br />Nrg NO <br /> <br />TYPE: ELECTRICAL <br /> <br />C'ONTRAOI'OR, NO. 45933 <br />LICENSE NO: <br />PACIFIC C~A~'f' ELEC.,INC. <br />P.O. BOX 851 <br />S]'AY]'ON, OR 9?383 <br />PHONE: 789-7671 <br /> <br />PEk~41'r OR APPLICATION NO: 30984 <br /> <br /> SUPERVISING ELEC'f'RICiAN/NUIVI~ER <br /> LEONARD NYER8 <br /> <br />SERViCE/FEEDER 101 'f'O 400 AMPS <br />ELECTRICAL SI'ATE SURCHARGE <br /> <br />QUAN't't'T'Y Ar4OUN't <br /> 1 $60.00 <br /> $3_00 <br /> <br /> TOTAL.ASSESSED F~ES <br /> PREVICUSRECEiP]'S $0.00 <br /> THiS RECEIPT $63.00 <br /> <br /> BALANCE CUE $0.00 <br /> PAY~: PACIFIC COA.~'f' ELEC.,INC. RECEIPT NOt 32?05 <br /> R~CEiVED aY: ~ TYPE: CK CHECK ~: 4968 <br /> * TH~S iS A VALID PERNIIT * THIS PEI;~IT EXPIRIB~ ~80 DAY~ FRON iTS 1.%-~¢JE DATE. iF <br />CONSTRUCTION 61EA~IE~ FOR A PERIOD OF 180BAY~, OR IF CO"4$TRUOTION FALLS TO ~EET ALL <br />~E(;~UiRE~ENTS OF STATE LACAI~ AND I~tARION COUNTY 8UILO~N6 AND ZONING ORDINANCB. THIS PERMIT <br /> ALL 8ECOCqE NULL AND VOID. <br /> <br />RBI¥C, RKS: SERV R~'7288 <br /> <br />gY, ONALD E+ WOODLEY, MARION COUNTY BUILDING OFFiCiAL / BY <br /> <br />~OR~ ~ MC ~ ~-~ REV. 4~o ;E COPY <br /> <br /> <br />