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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 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized representative <br />of a regbtered builder. <br /> <br /> MATTHEW ROBERI' ;~ CAROLYN P,tZZUTi 70380-110 <br />~TuS AbeRbss; ; 88'~S;F~dCT~ON ~YPE; OUCUPANCY: <br /> <br />RESIOEN']'iA <br /> <br /> 10792 ARNOT RD NE CONTRACT CITY; ; UGB: ~OCGUPANT LOAD'. <br /> <br /> AURORA OR 97002 i <br />usE'd~' ~b,_oiNi21 i. MARION' C~NTY.' NO ' ,0 0~ s~t~,00Ms: <br /> <br /> SAME <br /> <br /> PHONE: 6?8-5638 SiTE NUt',lEER: 92-01215 <br /> ' . . . VALUA'[ION: <br />Ldf; ! 6LGc"~; 'E~6'rid~i TOWNSHIP'· : RANGE: ZONE; MAP; <br /> <br />:WIDTH: !DEPTR;I AREA: 32 UN~TS: L6~i''''qW ~6~R~Gff': <br />! i ] AC, ~ NO; YE~ <br /> <br />TYPE: ELECI'RICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />1'4A'¥1'HE~ROBER'f'& CAROLYN PiZZU'f' <br />SAf4E <br /> <br />PHGNEt 679-5838 <br /> <br /> Il'EM <br />RF~ WIRING < ~000 SQUARE FEET <br />RES NIRiNG EACH ADDiTiONAL 500 SQUARE FEET <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATioN NO: 38925 <br /> <br /> SUPERVISING ELECTRiCIAN/NUIVrsER <br /> <br />QUANTITY AFIOUNT <br /> <br /> 4 $60.00 <br /> $7_25 <br /> <br /> TOTAL ~ED FE~ $152.25 <br /> PRE¥IO~S RECEI P'rS $ ~ 82.25 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0_00 <br /> <br /> PAYEE: ,~.,..,.~: RECEIPT NO: <br /> RECEIVED BY: FIB TYPE: CHECK ~: o <br /> <br />* THiS iS A VALID PERMIT * THiS PEI:~IlT EXPIRES 18o IDAY3 FROM ITS i,S..<AJE DATE. iF <br />CONSTRUCTION CEA~F_.~ FOR A PERIOD OF 180 DAY~, OR iF CONSTRUCTION FAILS TO MEET ALL <br />RE(~UIRIB~,IENTS OF :STATE LAt,~; AND MARION COUNTY BUILDING; AN~ ZONING ORDINANCES, THIS PERMIT <br />E~I"IALL BECOME NULL AND VOID+ <br /> <br />REMARKS: REWIRING HOLJSE 3,000 ~ FT <br /> <br />OONALO E. NOOOLEY, Iv~RION COUNI'Y BUiLDiNG OFFICIAL / 8Y <br /> <br /> OFFIdECOPY <br />FORM # MC 15,~ REV. 4~ <br /> <br /> <br />