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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />22,0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: E88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />H E~R~NN, ROY <br /> <br /> 9273 8HANEQUARE RD <br />AUMSVZLLE OR <br /> <br />USE OF BUILDING <br /> <br />9?325 <br /> <br />CATEGORY <br /> RE~i DEN J [/kL <br /> <br />OCCUPANCY <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />~AR ION COUN fY NO <br /> <br /> Si~E NUFIBER: 11610 <br /> VALUA'f ION: <br /> <br />85 2N AR3 49 <br />AC fRREG LOT NO COFtN~ <br /> <br />[YPE: ELEC 1RiCAL <br /> <br />CON I P-AC'f OR, NO. <br />L ,[ CI~.N.EE NO: <br />H~.R~N. ROY <br />fOESIRE~. HER~ANN - I'~?8ILE r...~,~ER <br />9:254 SHAN S~UARE RID 86 AUiv~VILL <br /> <br />PER¢4iI' OR APPLiCAF[ON NO: 9029401 <br /> <br /> SUPERV[~ZN(~ ELEC'r RiCZAN/NUt~BER <br /> <br /> ITE~ <br />¢.{ANUFACiURE0 HOC4E SERVICE/FEEDER <br />FLEEt' SURCHARGE -ZONE 3 <br />EEECIRiCAL SrAI£ ~URCHARGE <br /> <br /> QUAN rl fY AIvIO~N I <br /> 2 <br /> $3.84 <br /> 3.50 <br /> <br />TOTAL AE~E.5.SED EEPSS $77.34 <br />PR~ i 6~8 RECEiPtS $O.OO <br /> <br /> 1464 <br /> <br /> PAYEE*. BE'11Y JO~N~ RECEiP'f HO: <br /> REC~ZVED BY: PR [J~// ..-, tYPE: CK CH~CK Sr.- <br /> <br />~ THIS is Nor A PEr.lIT. THIS APPLICATION t~UST 60 THROJ~IH A REVIE~ PROCE~,~ ~HERE THE <br />FOLLONIN(~ ¢¢¢JST BE CC~LIETEO. IT IS THE RES~IEILITY 0¢ THE APPLICANT TO A~x~URE THAT <br />ALL NECE~=~SARY INF-ORtC~TION HA~ BEEN PRO*VIDEO. <br /> <br />PLAN REVIE~4: BY ................ [,~"FE .......................... <br /> <br />RENARKS~ CONN ~ SERV R'~t3447 <br /> <br />cl'r¥ JURiSDiC'fiON; BY <br /> <br />OFFICE COPY <br /> <br /> <br />