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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 - <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other, <br /> <br />SIGNATUPE OF APPLICAN] <br /> <br /> CATE <br /> <br />0Y/0'2,/91 liME: q4:34;3g <br /> <br /> FRANK BO <br /> <br />TAX LOT CATEGORY <br /> 5?'?0~-000 <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RE'_? IDEN I fAL <br /> <br /> 140 SPRUCe- Cf 18 CONTRACT OITY UGS <br /> AUr45V I LLE OR 9?325 <br />us~- OF SUILUm6 ~UMSVILLE <br /> <br />NO <br /> <br />'OCCUPAN1 LOAD <br /> <br /> 1291 L,~O 5f NE <br />SALEM OR 97303 <br />PHONE: 390-588¢ <br /> <br />LOT RLOCK SFCTION TOWNSHIP <br /> 18 25 8S <br /> 64 1 13 SP <br /> <br />EVERGREEN E~IA~ES <br /> <br />~iTE NUMBER: <br /> VALUA f i ON: <br /> <br /> 2W <br />IRREG LOT CORNER <br /> YES NO <br /> <br />MAR <br /> <br />[YPE: ELEC[RICAL PER, If OR APPL,[CAfiON NO: <br /> <br />~AJPERViSiNG ELECIRiCiAN/NUMBER <br />RU~56LL RICE / 16'f3~-S <br /> <br />AOOiIiONAL FEE5 <br />tLbCIRiCAL 5]AfE SURCHARGE <br /> <br />QUAN~i~Y AMOUNt <br /> Sso_oo <br /> <br />¥OfAL A~ED FEES <br />PREViOU~ RECEIPTS <br />f'HiS RECEIPT <br /> <br />$31,50 <br /> $o.oo <br />$31_50 <br /> <br />BALANC~ 0U~ $0,00 <br /> <br /> PAYBb. N & R ELECTRIC RECEIPI NO: 35204 <br /> RECeiVE0 BY: ¢1 TYPE: CK CHECK ~: 9696 <br /> <br />* THIS IS A VALID PER~IT * THiS PERi, IT EXPiRI~S 180 BAYS FRO~ iTS iSSUE DATE. IF <br />CONSTRUCTION CEASES POR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO ~EE'r ALL <br />REQUIREI~ENTS OF STATE ~ AND fiiARiON COONTY BUILDING AND ZONING ORDINANCES. THiS PERMIT <br />5HALL BECOME NULL AND VOID. <br /> <br />~EMARKS: MH 5VC P©R PARK SPACE R~9696 <br />[X~NALD E. WOODLEY, MARION COUNTY BUiLDiNG OFFICIAL / BY ~ <br /> <br />FORM # MC 15-58 REV' ~/~O OFFICE COPY <br /> <br /> <br />