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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:: $88-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE;: 588-7904 <br /> <br />Othor <br /> <br />DATE <br /> <br /> COUNTRY <br />S~TUS ADDRESS <br /> <br />t2:14:13 <br /> <br />TAX LO~ <br />CONSTRUCTION TYPE <br />CONTRACT CiTY UG8 <br />I~RION COUN'IY NO <br /> <br /> 11955 SFAYrON RD <br />AUSViLLE <br /> <br />OR <br /> <br /> CATEGORY <br /> <br /> OCCUPANCY <br /> <br />: OCCUPANT LOAD <br /> <br />PHONE: <br /> <br /> Sll~ NUN~3ER: 12275 <br />. VALUAFION: <br /> TOWNSHIP RANGE ZONE <br /> <br />UNITS IRREG LOT CORNER <br /> NO NO <br /> <br />MAP <br /> <br />fYPE: ELgCfRiCAL <br /> <br />CONTRACIOR, NO. COUNIRY <br />LICENSE NO: <br />~JUN1RY CASLEVI~i(~ LlO <br />7522 JOROAN 51 5~ <br />5ALEN, OR 97301 <br />~dON~: 588-824? <br /> <br />PER~4if OR APPLiCAflON NO: 30~14 <br /> <br /> SUPERVISING EggC[RiCIAN/NUMBBR <br /> <br /> I l EiVl <br />5ERViCS/PSgOER 100 ~¢4PS OR LESS <br /> <br />QUAN'F ,l l Y AIVIOUN I <br /> $35,03 <br /> <br /> FO[AL ~E~EO FEES <br /> PREV~OLI5 RECEIPTS <br /> 'fHiS RECEiPt $35.?5 <br /> <br /> ~ALANCE DUE <br /> <br /> PAYEE; COUN(RY CASLE¥iSiON LID RECEiPf NO: 32038 <br /> R~(;~iVED BY: ¢1 TYPE: CK CHbCK ~: 0 <br /> <br />* fH1S iS A VALID PER~iT * THiS PERMIT EXPIRES ]80 DAY~ FRO~ ITS i~SUE DATE. IF <br />CONS'¥RU6TION CEASe5 FOR A P~RiOO O~ ~80 [lAYS, OR iF C~NSTRUO'rlON FAIL~ TO MEE~ ALL <br />RF.(~JIRE~4ENTS OF STATE LA~S AND ~ARiON COUNTY BUILDING AND ZONING ORDiNANC~S, THiS PER~41T <br />SHALL B~E~3~IE NULL AND VOIO~ <br /> <br />REMARKS; 1OO A~P CABLB PP&L POLE ~138200 <br /> <br />DONALD ~. NOOOLEW, ~ARION OOUN'~Y ~UiLOING OFFICIAL / BY <br /> <br />FORM # Mt., 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />