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MARION COUNTY BUILDING <br /> SENA%OR B~DG NO 225 <br /> 220 HIGH STREET NE <br /> SALEM OREGON 9'7301 <br /> <br /> PHONE; 588-5147 8:00 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OtheL <br /> <br /> I have read and agroo to the terms stBted on the reverse side of <br /> <br /> OAf E: I1/06/90 'liME: 14'-52;29 <br />OWNER <br /> (4RED, MARIE <br /> <br />SIIUS AOORESS <br /> <br />SIGNATURE OF APPLICANT <br /> <br />8'/83 SHAW SQUARE ROAD <br /> OR <br /> <br /> CONTRACT CITY <br /> <br />MARION COtJN fY <br /> <br />UGB <br /> <br />NO <br /> <br />CATEGORY <br /> RESI DEN f iA!._ <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OP B£O~OOUS <br /> <br />LOT <br /> <br />BLOCK SECTION TOWNSHIP <br /> <br />5IlE NUMBER: 11642 <br />VALUA f iON .* <br />RANGE ZONE <br /> <br />fYPE: ELECI RiCAL <br /> <br />CON f }:~AC l OR, NO. 1988/5 <br />LICENSE NO: <br />CODE 6-LECII<iC, INC. <br />2717 22ND Sf SE <br />LS~LEI'4, ON 9?.302 <br />PHONE: 58'1-8684 <br /> <br /> AREA UNITS IRREG LOT i CORNE~ <br /> NO ~ NO <br /> <br />PEI~iT OR APPLICAFION NO: 28581 <br /> <br /> ~:~UPERvISiNG ELECrRiCIAN/NUrflBER <br /> 20158 fERRY HARRINGfON <br /> <br />IOfA.L A~ED P~E~S <br />PREVIOUS REC~iP'I~ <br />THiS RECEIPt <br /> <br />BALJ~NCE- gU6_ <br /> <br />SERVICE/PbEB~R 101 lO 400 AMP~ <br />ELIECtR~CAL SIAf'E f:;~IJRCHA~E <br /> <br />PAYEE: COOL ELECTRIC, INC. <br />R~C~IV~I) BY~ gL <br /> <br />0UANIIIY <br /> t <br /> <br /> R6-CEiPI NO: <br />IYPE: OK CHECK <br /> <br /> THIS IS A VALID PERtflIT ~ THI~ PER/VliT EXPiRE~ 180 DAYS FRC~I irs issue DAIE. iF <br />CON~I'RUCIION CF.A~E~ FOR A PERIOD OF 180 DAY~, OR IF CONSTRUCTION FALLS lO NEE1 ALL <br />REQUIREMENTS OF STATE LAW, AND MARION COUNTY BUiLDiNG AND ZONING ORDiNANCE,.~, THiS PERMi1 <br />..~HALL B~E NULL AND VOID. <br /> <br />REI'4ARKS: SVC CHG 200 AMP, R:~4301 <br /> <br />DONALD E- ~¢30OLEY, MARION COUNI'Y BUILDING OFPiCiAL / BY <br /> <br />FORM # MO 15-56 ~EV 4/'¢~0 OFFICE COPY <br /> <br /> <br />