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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH SYREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performir~9 work on a propefW I own or occupy. <br /> <br />I t~ave read and 8gree to the terms stated on the re¥orse side of <br />~l~is document. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> OATE: <br /> <br />OwN~TEt 01/09/95 TINE: 14:47:14 <br /> ~OBWARD, MICHAEL <br />SITUS ADgReSSz <br /> <br />57810-000 <br /> <br /> UGB: <br /> <br /> 1050 N. 4TH <br /> AUMSVILLE <br /> <br />USE OF SUILDJNG: <br /> <br />OR 9?325 <br /> <br /> CONTRACT CrT¥; <br /> <br />'AU~:SViLLE <br /> <br />SU SOtVISION; <br /> <br />P.O- BOX 287 <br />AU~SV i LLE <br />PHONE: 749-34rJ4 <br /> <br />LOT: SLOCK; SECTION; <br /> 186 600 <br /> <br />25¸ <br /> <br />TOWNSHIP: <br />UNITS: <br /> <br /> SiTE NUMBER: 92-00289 <br /> VALUATION: <br />RANGE; ZONE: <br /> <br />8S 2W RS <br /> IRREG LOT: CO~NER: <br /> <br />SF Y6.~ NO <br /> <br />CATEGORY: <br /> <br />OCCU FJANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />RESIDENTiAl <br /> <br />MAP: <br /> <br />TYPE= ELECTRICAL <br /> <br />CONTRAC'rOR, NO. <br />LICENSE NO~ <br />If¢30~ARD, MICHAEL <br />P.O. BOX 287 <br />AUI',~VILLE <br />PHONE: 749-3404 <br /> <br />PERM~'f OR APPLICATION NO: 31189 <br /> <br /> ,SUPERVISING ELECTRiCiAN/NUMBER <br /> <br /> I' 1' ,,,,,,,,,,,,,,,,,,E ~ <br />8~CH cu~'cui'rs - 'rwo 'FO 'rr~ <br />ELrP.~'I'RiCAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PRE¥iO0$ RECEIPTS <br />THiS REOEIPT <br /> <br />BALANCE DUE <br /> <br /> ~AN'T i TY ~rOUNT <br /> ~ $50.00 <br /> $2.50 <br /> <br /> B2.50 <br /> $o.00 <br /> <br /> $o.o0 <br /> <br />RECEIPT NO: <br />CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVES 8¥: ~2 TYPE: <br />................. ,,, 2 2 '"' J!!" !!!t !::: r: 'r ~ T' ............ <br /> x< THIS IS A VALID PERMIT * THIS PEI~4ZT EXPIRES 180 OAY~ FROM iTS I,%~JE DATE. IF <br /> CCf4STRUCTZON CEA..~E8 FOR A PERIOD OF 180 DAY~, OR IF C~2NSTRUCT[ON EAiL~ TO ~IEET ALL <br /> REqlJ[RE~NTS OP STATE LAN~ AND MAR[ON COUNTY BOlt,DING AND ZONING ORDINANCES, THiS PERhllT <br /> ~I-IALL 8ECOI~IE NULL A~O VOID. <br /> <br />REMARKS: 2- 10 CIR E <br /> <br />OONALO E. WOODLE¥, MARION CC~JN'rY BUILDING OFFICIAL / ~Y <br /> <br />OFFICE COPY <br /> <br /> <br />