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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE;; 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />OAf E: 10/09/90 fINE: 10:0~:35 <br /> <br /> RUF PENER, HELEN <br /> <br /> 450 SMALL LANE -- <br />OEfRO~I OR 9Y:~42 <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> 1130 SE 36TH <br /> H .t LLSBORO, OR <br /> CHON E: <br /> <br />SISNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONST~UCIION TYPE <br /> <br /> CONTSACE CITE <br />DE'T RO I I <br /> <br />SIT'F; NUIVlBER: <br /> VALUA r i ON: <br /> <br />LOT SLOCK SECTION TOWNSHIP RANGE <br /> <br />NO <br /> <br />CATE(~ORY <br /> RES/DEN ~ ]AL <br /> <br />OCOUPANT LOAD <br /> <br /> 11414 <br /> <br />ZONE MAP <br />COHNI~O <br /> <br />TYPE: ELECIRICAL RERMiF OR APPLIE"ATiON NO: <br /> <br />27846 <br /> <br />CONfRACIOR, NO, 44248 <br />LICENSE NO: <br />CONSUMER PO~ER iNC. <br />P.O.BOX 1180 <br />PHILOMAtH, OR 9?3?0 <br />F"HGNE: 929~-3124 <br /> <br />E:,UPERV~SiNG EL~C1RiCIAN/NUMBEt~ <br />30~0-5 <br /> <br /> iIEM QUANIiIY <br />8RANON CIRL~IfS - IWO ~O fEN <br />ELECIRiCAL ~iATB ~URCHARGE <br /> <br />~REVlOLIS REOEIPi'~ <br />RECEIPT <br /> <br />A~)UNt <br /> $5o.00 <br /> $2,5u <br /> <br />$52.50 <br />$52.50 <br /> $0..00 <br /> <br />BALANCE DUE $0_00 <br /> <br /> PAYEE: REOEi P ! NO: <br /> ['<ECgJiVbD BY: CL TYPE: CHECK ~: <br />~ THiS i$ A VALID PE~IT * THiS PE~IT ~PiR~ 180 DAY5 F~ ITS I~E DALE. <br />~SF~CII~ C~ FOR A PERIOD OF 180 ~, OR IF ~ST~CI'[~ FAILS TO MEEY ALL <br />RE~[R~T~ OF S[A1E ~ ~D ~Ri~ ~NTY BUILOING ~D Z~ING ORD[N~C~, THiS <br />~ALL BEC~E NULL ~D <br /> <br />REMARKS: 2 C[R OR MORE R~173 <br /> <br />,X,)N,~ l,) g. WOOOL_EY, MARION COUNIY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />