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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-514'~ 8:~) - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />OWNDi~,'FEt U'//U~/91 .[I"4E-_ 15:5- :51 <br />srrUSAOBRESS~ANKF'N, N.AC)¢4I '_.CROL;KP-M <br /> <br />10868 r'4AtN ~[' NE <br />DONALD OFf <br />USE OF BUILDING ' <br /> <br /> LOT: ' CATEGORY <br /> 4.67t54--O00 ,, RESI L)/z.N ! [ AL <br /> <br />EY-~NAI,D NO ' N0 OF ~ED~00MS <br /> <br />MAIl_lNG ADDRESS' <br /> <br />SUBDIVISION <br /> <br />P.o. 8ox 451 <br />DONALD, (.)R 9?020 <br /> <br />Sif'B NUMBER: 12747 <br />RA~. ~¢'~L'UAf iON: <br /> <br />W ~TH DFPTH <br /> <br />110 <br /> <br />TYPE: ELECTR,,tCAL, PERI~II' OR APPL,~CAfION NO: <br /> <br />:~3594 <br /> <br />CON TRAC 7 OR, NO, 209]9 <br />LICENSE NO; <br />SF, AN EL.f':'C'fRiC, iNC. <br />I:,>O SOX 389 ~0985 8U~'t'EViLLE RD <br />(~}NALD, OREGON 9?020 <br />PHON~: 578-1355 <br /> <br />SUPERVi,SING ELEC f R.[ C I AN/NUIV~ ~'R <br />GORDON LEr',ION~ : 2734S <br /> <br />~UAN]i '1'Y AMOUN'~ <br /> $38.00 <br /> <br /> TO'rAL AS-S~ED FEE5 $3?. 80 <br /> PREV:IOUS RECEIPTS $0.00 <br /> I'H I S BEC E I PT $ ~'~ ~, S 0 <br /> <br /> BAL~CE ~E $0_80 <br />ELECTRIC, [NC. RECE~P'r NO: 35422 <br /> <br />~ THI~ iS A VALID PEF~IlT ~ THIS pERMIT EXPIRES 180 DAY~ FROM iTS I~S~JE DAT£. <br />~O¢~$TRUCTION CEASES FOR A PERIOD OF 180 DAY~, OR iF C~NSTRUCTION FAILS TO MEET ALl. <br />PJE(~UIR~74ENTS OF STATE LA~5 AND MARION COJNTY BUILDING AND ZONING ORDINANCES, TRI~ PER~ <br />,<~HALL BECO~IE NULL AND VOIO. <br /> <br /> PUMP R~'/9'1 ~ <br /> <br />W(.)OOLEY, MAR,~ON COUN']Y BUILDING OF'FJ, C~AL / BY .............................. ~ <br /> <br />CORM # MC 15,56 REV, 4/'90 OFFICE COPY <br /> <br /> <br />