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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- 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />gA'[E: 04/0?/92 'rl~4E,. 15:50:17 <br /> <br /> DETROIT LAKE STATE PARK <br /> <br /> DATE' , <br />~ONSTRUCTION TYPE <br /> <br /> NORTH SAN'FIAN H~ MPg? -- CONTRACT CITY <br /> DETROIT OR <br /> MARION ..COUNTY <br /> USE OF BUILDING; <br /> <br />' MA~LiN~ AdbBE~S~ ............ ~Ced~lSl~'~: <br /> <br />UGB: <br /> <br /> NO <br /> <br />PO BOX 549 <br />OE'f ROI 'r' 97342 <br />PHONE: <br /> <br />10 <br /> <br /> SITE NUt, dER: 92-01395 <br /> VALUAT ION: <br />~ANGE ZONE <br /> <br /> 5E <br />IRREG LOT CORNEE <br /> NU NO <br /> <br />CATEGORY <br /> <br />OGCUPANC~ <br /> <br />OCCUPANT LOAD. <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 81702 <br />LICP..N~E NOt <br /> <br />2250 Jud$~ ~E <br />S~"lem. 97302-0000 <br />~: 364-0??0 <br /> <br />PERMIT OR APPLICATION NO; 39222 <br /> <br /> SUPERViSiNG ELEC'rRICIAN/NUIVlBER <br /> <br /> Il'EM <br />SERVICE/FEEDER 201 'ro 400 AMP¢5 <br />ELECTRICAL STATE SURCHARGE <br /> <br />6UAN'I'i'I'Y AMOUNT <br /> 1 $~0.00 <br /> Ss_oo <br /> <br /> 'tOTAL ASSE%-L~ED FEES <br /> PREVtOUS RECEIPTS $0,00 <br /> THIS RECEIPT $83.00 <br /> BALANCE DUE $0.00 <br /> PAYEE: Ivieson E'ilec~t~ff~ Jr~ ~ RECEIPT NO: 41248 <br /> RECEIVED BY: FE~ ~ TYPE: CK CHECK ~: 1305 <br />~ THiS 15 A VALID PE~IT ~ THiS PE~IT ~PIR~ 180 ~ F~ ITS i~E DATE. IF <br />~T~CTi~ C~ ~R A PERIOD OF 180 ~Y5, OR iF ~ST~CTI~ FAI~ TO REET ALL <br />~iR~T5 OF ~TATE ~ ~D ~RI~ ~NTY BUILOiN~ ~O Z~iNG ORDIN~C~, THiS PE~IT <br />~LL B~E NULL <br /> <br />REMARKS: <br /> <br />DONALD g. NOODLEY, IVlARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC t $-~6 REV, 4/90 <br /> <br /> <br />