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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />I am performing work on a property I own or occupy <br />I arq a registered builder OR ( } I e au ho ized rep esen a ye <br />of a reglste(od builder, <br />The work will be perforl~ed by a registered builder <br />Other, <br /> <br /> DAIE: 10/02/90 rIME: 16:44:42 <br />OWNER 1ELEPHONE UIILi'IIF..~ OF OREGON <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />TAX LOT CATEGORf <br /> <br />C0¢¢¢4ER01 AL <br /> <br />SITUS ADDRESS <br /> <br /> 14971 <br /> <br /> CONSTRUCTION TYRE <br /> <br />OK 97002 CONYRACT CIYY UGB <br /> AURORA NO <br /> <br />PHONE: <br /> <br />SECTION TOWNSNIP <br />~REA UNITS <br /> <br />sire NUMBER: <br /> VALUATION: <br /> <br />RANGE <br /> <br /> 11365 <br /> <br />ZONE <br /> <br />CORNED <br /> <br />MAp <br /> <br />IYPE: gLEC'rRICAL PP:,R~IT OR APPLICAFiON NO: <br /> <br />2 ? ? 12 <br /> <br />CONIRACfOR, NO. 42047 <br />LICENSE NO: <br />IODD KB~AGY ELE. C1RIC <br />111NN 2ND SfREEf <br />CANBY, ORg{~ 9701~ <br />PHONE: 263~8828 <br /> <br />SUPERViSiNG ELEC1RICiAN/NUMBER <br /> <br />SERViCE/FEEDER 100 A~P~ OR <br />ELECIRICAL S'IA'rE fSURC~ARGE <br /> <br />QUANr I ! Y AJvK}UN I <br /> $35.00 <br /> <br /> PREVIOUS RECEIPTS $O.OO <br /> <br /> BALANCE BUE $0.00 <br /> PAYgg: fODO KENAGY ELECTRIC REOEIPIf' NO: 29306 <br /> R~CEiVED BY: CL TYPE: ~N CHE~K ~: B <br /> <br />* THJ$ ~$ A VALZO PERfVlt1" * TH~8 PERmiT (gXP~Rli~ 180 DAY~ FROi14 iTS ~,SLIE BATE. IF <br />ODNSIRUCTION OF_.A~-S FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION PAiI.'A TO MEET ALL <br />REQUIRE~I~NT$ OF STAT~ LAWS AND MARION COUNTY BUILDING AND ZONZNG ORDINANCES5, THiS PgRMiT <br />SHALL BD~OME NULL AND VOJD. <br /> <br />R~ARKS: 100 AMP , SEE FILE FOR DIRECTIONS <br /> <br />DONALD E+ WOODLE¥, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />