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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 />of a cegistered builder <br />The work will De peCformed by ~ registered budder <br />Other <br /> <br />SIGNATDRE OF APPLICANT <br /> DATE <br /> <br />OWNER <br /> DALE: 03/09/92 liME: 8:42:19 <br />SITUS ACDRESSK.~~ HiDE.&WAY ~ PARK <br /> <br />TAX LOT <br /> <br /> 52O CLES I'ER <br />use ~tt~¢~ <br /> <br />BE1 ROi l <br /> <br />NO <br /> <br /> SAT~GORY <br /> <br /> OCCUPANCY <br /> <br />!OCCUPANT LOAD <br /> <br />NO OF eEO~OOMS <br /> <br />LOT <br /> <br />BLOOK SECTION <br />DEPTH A~EA <br /> <br /> .SIZE NUt~5~: 92-01020 <br />;TOWNSHIP RANO~/ALUA f iON: ZONE <br /> <br /> m <br /> <br />IYPE~ P~LEC'i R LCAL <br /> <br />COil l RACIOR, ND. 58969 <br />LICENSE NO: <br />~i'l'liam I Craw-ford <br />Pc;, Box 845 <br />~t;ayl:or~, 9?383-0000 <br />~H~E: 769-9431 <br /> <br />Pg~[[ OR APPL[CA'~ION NO: 38645 <br /> <br /> ~UPERVJSiNG ELEC1RiCiAN/NUC4BER <br /> <br /> ITEM <br />SERViCE/FEEDER LE~ fHAN 200 AJ~P~ <br />BRANCH CiRCUI'f, WI1H SERVICE OR FEEDER <br />ELECTRICAL ~rArE ~URCHAK-'GE <br /> <br />IOIAL ~E.%SED FEES <br />lHIS RECEIPI <br /> <br />BALANCE DUE <br /> <br /> QUAN f' 1 lY <br /> 10 <br /> <br />R~CEZ PI NO: <br /> <br /> Af~.3UNf <br /> $50,00 <br /> $20_00 <br /> <br /> $73.50 <br /> $0.00 <br /> $7~_b0 <br /> <br /> $0,0o <br /> <br />40647 <br />2133 <br /> <br /> RECg/VED BY: PB "rYPE: OK CHECK <br /> <br />~ THiS ~S A VALID PERNitT'~ TH~8 PE~IT ~PIR~ 180 ~ F~ ITS I~E ~TE. <br />~BT~CTI~ C~ PORA ~R[OD OF, 180 ~ OR ZF ~T~CTi~ FAi¢ TO MEET ALL <br />REdiReCTS OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~O Z~iNG ORDJN~C~, THiS PE~iT <br />~ALL 8~E NULL ~O <br /> <br />DONALD g. NOODLBY, ~IARION CQUNIY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />