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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br /> '".t~ALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own o( occupy. <br /> <br />$11u$ ADDRESS~1 GO, 'I:ED <br /> <br />USE OF BU~LP~NG: <br /> <br />SE: <br /> <br />iN,1AR iON COUN'f'Y <br /> <br />NO <br /> <br />SUBDIVISION: <br /> <br /> 2550 MARK. ET S'l' NC <br /> SALEM OR 97301 <br /> PHONE: 36;¢-4073 5t '{'g NUMBEiR; 15241 <br /> ............. Rc, hG~.Ak;UA:I',I GN: ZONe' <br />LOT; BLOCK: SECTION; TOWNSHIF~: -. . <br /> <br />'DEPTH; AREA: O~ UNITS: ~S mnEc,. LOT: 1]/'~ ~ORNER: AR <br /> <br /> r~ ,,05: AC NQ NO <br /> <br />CATEGORY: <br /> <br />OCCBPANCY; <br /> <br />OOCUPANT LOAD: <br /> <br />RES,[ D[~N l' i A <br /> <br />MAP: <br /> <br /> 48 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />L,~CENSE NO: <br />LLNGG, TED <br />g55D IVtARKEf' 51' NE <br />~ALE~ OR 97301 <br /> <br />PERMIT OR APPLICATION NO: 3?594 <br /> <br /> SUPERViSiNG ELECTRiCIAN/NUNB~R <br /> <br />5~RViCE/FS~DER 101 'f'O 400 ANPS <br />ELeCTRiCAL STAfE ~SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />QU~N'T'JTY AMOUNT <br /> 1 <br /> $3_00 <br /> <br />TOTAL AZ, SE:~ED FEE5 <br />PRE¥1OUS RECEIPTS <br />THiS RECEIPT <br /> <br />$63.0D <br /> $0,00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />............................................................................................................... /'YPE: CHECK ~: 0 <br /> <br /> THiS iS A VALID PER~iT * THiS PER~llT EXPiRE~ 180 DAYS Fl:~ iTS i~,-~E GATE. <br />CONSTRUCTION CE.A~ FOR A PERIOD 0F180 DAY~,OR IF C~N~TRUCTION FAiL~ TO NEET ALL <br />RE(~JIRE~IE~T~ OF STATE LAH~ AND r~ARiON COUNTY BUiLDiNG AND ZONING ORDINANCES, THIS PER~IiT <br />,SHALL BECOME NULL AND VOID. <br /> <br />R~MARKS: 200 AMP 5ERV FOR EXISTING OUI'SLB~ <br /> ./ <br />OONALO E. IAFOODL~y, NARION C¢~N'f'Y BUILDING OFF'iCiAL / BY ................................ ...~? ............................................. <br /> <br />OFFICE COPY <br /> <br /> <br />