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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />I have read and agree to the ~erm8 statod on the reverse side of <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />':)wN~re: 09/20/91 <br /> <br />S-US ¢,r)~RES¢R~N' JOE <br /> <br />lIME; 17:10:43 <br /> <br />TAX LOT <br /> <br />CONSTF~UCTIO N TYPE <br /> <br />'CATEGORY <br /> <br /> OCCUPANCY <br /> <br />RES1 D~N ! iAL <br /> <br /> 11597 FALO%)N COURf NE <br />AUROP.~ OR <br /> <br />· ~ONTRACT CITY UG8 <br /> <br />f~lARt ~'~' 'E~UN'~Y" <br /> <br />NO <br /> <br />MALLLNG ADDRESS <br /> <br />SUBOtVtSION <br /> <br />C~N"FURY Mr~ADOW~ At4 <br /> <br /> PHONE <br />LOf <br /> <br />BLOCK SECTION TOW'NSHIP <br /> <br />RAN ~/~ALUA1 ION'' ZONE <br /> <br />MAR <br /> <br />WIDTH 3~ DEPTH 1 9 AREA , UNIT~' IRREO LOT j CORNER <br /> <br />~YPE: ELEC I RICAL <br /> <br />CONI RAC1 OR, NO. 35151 <br />L i CP-,NSE NO~ <br />PARKiN ELECIRiC iNC <br />25,248 5W (,78ERSf RD <br />SH ERVA,YOD 97140 <br />PHONE: 246-1301 <br /> <br />PERMIf OR APPLiCA'~ION NO: 35232 <br /> <br /> SUpERvISING ~LECIRiCIAN/NUMB~R <br /> <br />NANUFAEfUREO HO~E SERViCE/FEEOER <br />gLSCIRiCAL 5[Ale ~RONARf, CE <br /> <br />qUAN~i~Y A~OLIN~ <br /> $35.oo <br /> <br />'tOTAL ASSESSED FEE~ <br />PREVIOUS RECEIPTS <br />tHIS RECEIPr <br /> <br />$0 ,, 00 <br /> <br />BALANCE DUE <br /> <br />PAYEE: RECEIPt NO: <br />R~CEiVEO BY: DM TYPE: CHECK ~: 0 <br /> <br />~ ~HiS IS A VALID PERI,lIT ~ THIS PEI~IlT EXPIRE~ 180 DA'Y~ ~RO~ ITS ISSUE DATE. IF <br />COI~STRUC~iON CEASE~ FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAILS TO ME~I- ALL <br />I~I~TS OF STAT~ ~ AND I~.~ZON COUNTY BUILDING AND ZIANING ORDINANCIgS, THiS PEI;~IiT <br />~HALL 8ECOi~E NULL ANDVOID. <br /> <br />REMARKS: S~RVICE R~3523 <br /> <br />FJONALD E. WOODLEY, MARION COUNIY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />