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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 />Other__ <br /> <br />SIGNATURE O% APPLICANT <br /> DATE <br /> <br /> OAIE: 1T/14/91 TiM~: 15:~5:49 <br />OWNER <br /> <br /> 5ENORN, DAVID L, <br /> <br />b'f693-00 <br /> <br /> 190 $, FIPTH 5T <br /> <br />U~E OF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUIV~VILL~ <br /> <br />UG0 <br /> <br />~.0_ 80X 4?3 <br />AUMSVILLb <br />P~ONE: 749'-14~0 <br /> <br />LOT BLOCK <br /> <br />74 14 f <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 5ITE NUMBER! 12555 <br /> VALUATION: <br />SgCTION TowNsHIP ~ANGE ZONE MAP <br /> <br /> 25 8S 2W C <br /> 5P YE5 NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />L[CgNS~ NO: <br />5ENORN, OAVI0 L- <br />P.C), MOX 4¢:3 <br />AUMSVJI~Lkr <br />PH(,)N~: /49-1440 <br /> <br />PgF~iI OR APPLICATION NO: 36828 <br /> <br /> SUPeRViSiNG ELECfRiCiAN/NLINBER <br /> <br />SERVICE/FEEDER 101 fO AO9 A~ <br />tL~CIRJCAL STATE SURCHARG~ <br /> <br />P&Ytb: 5ENORN, DAVID L- <br />RIV;EiVED BY: cl <br /> <br />AMOUNT <br /> $~o,oo <br /> <br />TOTAL ASSE~ED <br />PREVIOUS RECEiPIS <br />THiS RECEiPr <br /> <br />$0,00 <br /> <br />BALANCE DLIE $0,,00 <br /> <br />R~CEiPT NO: 3~7'fl <br />TYPE: iN CH~CK ~: 0 <br /> <br />* THIS IS A VALID PER~iT * THIS PER~IT EXPIRE~S 180 DAYS PRO~ iTS ISSUE OATE. iP <br />O~NSTRUCTION CEASES FOR A PERIOD OF ]80 DAYS, OR IF CONSTRUCTION FAILS TO ~E~ET ALL <br />R~IRE~TS OP STATE LAIRS AND ~ARION COUNTY BUILOING AND ZONING ORDINANCES, THiS PE~iT <br />~ALL BEJ, DIS~E NULL ANDVOID. <br /> <br />REMARK5: 100-400 AMP SVC <br /> <br />DONALD E- WOOQLgY, MARION COUNTY BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV 4/~O <br /> <br /> <br />