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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH BTREET NE <br /> SALEM, ORt=GON 97301 <br /> <br /> PHONE: 588~5147 8:00 - 4:30 <br />24 HOUR CODE-A.PHONE: 588-7904 <br /> <br />Tile work will be performed by a registered builder, <br />Other ........ <br /> <br />OwNEl~'r E: 04/01/91 TIME: <br /> WA'I'E~, BRIAN <br /> <br />9:22~01 <br /> <br />, TAX LOT; <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RE~IDENf'/Ag <br /> <br /> 8633 "A" E, HAN ~iY.,~ARE RD SE <br /> AU~VILLE OR 97325 I <br />U8~ OF gUILOING: ~'~('J~ <br /> <br />NO <br /> <br />; SdamVi~,0~: <br /> <br /> PHONE= 363-4597 <br />LOT: BLOCK: <br /> <br />121 <br /> <br />AREA: '~ 3 U~l~ .... <br /> <br />285 34485 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />WA'I'ERfS, BRIAN <br />S.A~E <br /> <br />PHF,.~'4E: 353-459'/ <br /> <br /> iTEM <br />MANUFACTURED HOiVtE <br /> <br />PER~t'T OR APPL~ <br /> <br />ELECTRICAL $1'A'f'E ~¢JR~ARGE <br /> <br />PAYEE: NA'fE&YS, BRIAN <br />RECEIVED BY= P8 <br /> <br /> * THI~ 1~ :NOT <br /> <br />ALL. NECESSARY <br /> <br />PLAN REViE3N: BY <br /> <br />R~4ARKS: CCfqN <br /> <br /> NUl'fl~ FR: 12621 <br /> VALUA'f' J, ON; <br /> <br />IRReg. LO'r= 2~ I~CmN~R: AR5 <br /> NO i NO <br /> <br />49 <br /> <br />NOt 9031250 <br /> <br /> ECJPERViSiNG ELEC'FRICIAN/NUFE~ER <br /> <br />QUANT'iI'Y .~'10UN'I' <br /> 1 $35.00 <br /> $1.75 <br /> <br />TO'rAL A~E~ED FEES $36.75 <br />PRE¥1CX,I~RECEiP'FS $0,00 <br />THIS REC~IP'F $36.75 <br /> <br />BAL.~NCE ~UE $0+00 <br /> <br /> RF_:OEIP'F NO: 33001 <br /> ' TY¢£: OK CHECK ~: 5320 <br /> <br />:ltlLt~T GO THROUI~H A E~IB ~:~OCE~ ~BE THE <br /> THE APPLICANT TO A.,,%.,qURE THAT <br /> <br />DA~E ........................... CiTY JURiSDIC'I'IC.I~: BY ............................... DATE ....................... <br /> <br />FORM # MO 1,s-se REV. 4/~0 OFFICE COPY <br /> <br /> <br />