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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9:7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWN~AIE: 04/29/9t TIME: <br /> <br /> MEULEMANS, JANEt <br />SITtlS ADORESS <br /> <br />13:12:25 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~ <br /> <br />CATSGOR¥ <br /> <br />OCCUPANCY <br /> <br />RES.( IJbN l iAI <br /> <br /> 13017 <br />AURORA <br /> <br />MAPLE LEAF NE <br /> <br />OR 9',"002 <br /> <br />~IAR I DN COUNI Y NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OP BbDH00M$ <br /> <br />MAPLE LEAFI LAK~- ESIAlbS <br /> <br />I©T <br /> <br />PHONE; 678-266'i <br /> <br />Sire NUMBER: 12 L~ 8'? <br />VALUA-f ,(ON: <br /> <br />MAP <br /> <br />IRREG LOT CORNER <br /> NO: NO <br /> <br />AR b <br /> <br />fYPE: ELECtRiCAL PERMIF OR APPLiCAfION NO: <br /> <br />31730 <br /> <br />CONIRAUIOR, NO. 4492? <br />LICENSE NOt <br />0UAN'fUM ELECIRlC <br />14~4 35f'H AVE NN <br />SALEM, OREGON 97304 <br />PHONE: 382-419~ <br /> <br />~UPERVi~ING ELEC1RICiAN/NU~BER <br />D~AN GROZA <br /> <br />SERViCE/P~D~R 100 AMPS OR L~ <br />~LECIRICAL SLATE SURCHARGE <br /> <br />QUANfiT'Y AFICYJNl <br /> <br />fO'TAL ~E.I:~SE0 FEES <br />PRE¥IOU5 RECE[P'T5 <br />f'Hi~ RECEIPT <br /> <br />$36. '15 <br /> $0.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE; QUANFDM ~LECfRIC RECEiPf NO: 33621 <br /> <br />* THIS IS A VALID PEI~4iT * THIS PER~IT EXPIRES 180 DAY~ FRO~I ITS IE~UE DATE. IF <br />CONS?RUCTION CEASES FOR A PERIOD OF 180 DAY~, OR iF CONSTRUCTION FAILS TO ~EET ALL <br />RE. qIJJR~IE~TS OF ~TATE L.NA~ AND ~IARION COUNTY BUILDIN~ AND ZONING ORDINANCES. THi$ PER,lIT <br />~HALL ~ECOI~E NULL AND VOID. <br /> <br />REI',IARK~: 100 A~P FEEDER R"~7523 <br /> <br />~r,.~ALD E_ WOODL~Y, MARION C'OUNTY BUILDING OPPiC~AL / BY <br /> <br />~ORM # MC 15-56 REV 4/90 OF FICE COPY <br /> <br /> <br />