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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 />TINE: 13:29:59 <br /> <br /> 150 ~P~JCE Cf <br />~UMSVILLE <br /> <br />OR <br /> <br /> CONTRACT CITY <br /> <br />AUNSViLLE <br /> <br />MAILING ADDRESS <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCOUPANOY RESIDEN/iAL <br /> <br />OCCUPANT tOAQ <br /> <br /> NO OF BbUH00M$ <br /> <br /> PHONE: <br />LOT <br /> <br />BLOCK SECTION TOWNSHIP <br />DEPTH AREA UNITS <br /> <br />SITE NUNBER-+ 14,0 I9 <br />~AN,:L~!'G'¢'LUATIC~4: ZON6 <br /> <br />NQ ,,, N,CI, <br /> <br />MAP <br /> <br />TYPE: ELECYRiCAL PERNI¥ OR APPLICATION NO; <br /> <br />3493? <br /> <br />OCN l RACl OR, NO, 2?459 <br />LiC~SE NO: <br /> <br /> BOX b2 <br /> <br />~GNg' 'f43-254~ <br /> <br />~PERVIS~NG gLEC I RICIAN/NUMBER <br />RUS'SE LL RiCE <br /> <br /> llb. M <br />AOD[TiONAL PEE5 <br /> b,,C I RIC~L 5/A I~ SURCHARGE <br /> <br />QUAN l i t Y A~()UN l <br /> q $30o0 <br /> $1 , 50 <br /> <br /> TOTAL A~E~,~ED FEE5 $31.50 <br /> PREVIOUS RECEIPTS $0_ 00 <br /> f'H ,f,S RECEIPT $:~ <br /> <br /> BALANCE DUE $0- 0O <br /> <br /> R~.CbIVED BY: c'l TYRE: OK CHECK ~t 9851 <br /> <br /> THIS IS A VALID ~IT * THIS PE~IT ~PIR~ <br />~ST~O'rI~ O~ ~R A ~100 OF 180 ~, OR I~ ~T~CTI~ FAi~ TO ~EET ALL <br />~iR~TS DP STATE ~ ~O ~RI~ ~TY BUILOIN~ ~O Z~iN60RDIN~C~, THI~ PE~iT <br />~ALL BEdE NULL ~D <br /> <br />f.,:ENARK5: NH PARK SVC FOR SPACE R~898'/ <br /> <br />f,Y-.)NALU E, WOODLEY, NARiON COUNTY L~UiLOiNG OFF;ICiAL / BY ~ <br /> <br />FORM g MC 15.56 nEY 4,90 OFFICE COPY <br /> <br /> <br />