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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: 588~147 $:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I a~a registered builder OR ( )the .~thorized rep,esentatlve .IGNATU.. O; APPL,CANT:~/~~~ <br /> The work will be performed by a registered buYder. <br /> <br />aA'rE: 03/24/~2 T~E; 14z32;49 <br /> <br />OELANEY, GARY' &' ROf~'ERT MIcKE"Y <br /> <br /> ~.10 <br /> AUM~ViLLE <br /> <br />USE OF BUILDING: <br /> <br />MAILING <br /> <br /> 535 N lll'H <br /> ~V[ LLE OR <br /> ~E: 749-1148 <br /> <br /> OONBTRUCTION TYPE: <br /> <br />OR 97325 ~o~m**c~ C~T¥ <br /> AU~SVI LLE <br /> <br />CATEGORY: RES I DEN T i AL <br /> <br />SU BDtVI'$10N <br /> <br />SiTE NU~ER: 92-01240 <br /> VALUATION: <br /> <br />LOT: BLOCK; : SECTION: <br /> <br />24 8~ 2~ <br /> <br />'rYPE: ELEC'f'~ f CAL <br /> <br />CONTRACTOR, NO,. <br />LICENSE NO: <br />OEL.ANEY, GARY & ROBERT <br />535 N 11TH ST <br />AUrfl~V'[ LLE OR 97325 <br />PHONE: 749-1148 <br /> <br /> iTE~ <br />SE~V.[C£/CCEEDER Li=~ THAN 200 <br />BRANCH CIRCUIT, INITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />PE~i'F OR APPLiCA'FION NO: 38969 <br /> <br /> SUPERVISING ELEC'rRiCIAN/NUiV~ER <br /> <br />PAYEE: DELANEY, GARY & RCEER'r ~IlCKF:Y <br /> <br />51 <br /> <br />TOTAL AE~E~ED FEE~ <br />PREWiCU~ RECEIPTS <br />THiS RECEIPT <br /> <br />~YJANTiTY ~NT <br />~ $50.00 <br />I $2.00 <br /> $2+60 <br /> <br />$54.60 <br /> <br />$54.60 <br /> <br />BALANCE DUE $0.o0 <br /> <br />RECEIPT NO: 40984 <br /> <br /> RECEIVED BY: F8 ......................................... ;_ .................. TYPE: CA CHECK ~-* 0 <br /> <br /> ~ THI~ IS A VALID PERI'lIT ~ THI..~ PER~tT ~PI~ I~0 ~ F~ ITS I~E <br />~ST~C~I~ C~.P~ A P~IQD OF 180 ~, OR IF ~T~CTI~ FAI~ TO ~ET ALL <br /> <br /> L B~E NULL ~O <br /> <br />REJVlARKS: 200AJ~PS SER AND 1 CIR <br /> <br />DONALD E. NOODLE"Y, NARiON COUNTY BUiLDiN~ OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-5~ REV, 4/90 <br /> <br /> <br />