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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />DARE: 03/20/92 rIME: 9:09:09 <br /> <br /> AURORA 5fAIE AiRPOR1 <br /> <br />SITUS ADDRESS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> C©NSCHUCHON TYPF <br /> <br />OCCUPANCY <br /> <br /> 1425'! KEIL RD NE <br />AU~ OR 9?002 <br /> <br />CONTRACT CiTY UGS <br />MARION QOUN') Y NO <br /> <br />~I iNVESIMENI <br />1436'! KEIL RD NE <br />PHONE: 236-6000 <br /> <br />LARRY RI rCHEY <br /> <br />LOT 8LOCK SECTION TOWNSHIP <br />2 <br /> <br />4S <br /> <br /> SiTE NUfC~BR: 92-00?37 <br /> VALUA I' ~ ON; <br /> <br />F~ANGE ZONE <br /> 1 ~ PA <br /> NO NC) <br /> <br />COMMGRCiAL <br /> <br />MAP <br /> <br />tYPE: ELECIRICAL PERMIt OR APPLiCAf'ION NO: <br /> <br />38899 <br /> <br />CONIRACrOR, NO. 75752 <br />LICENSE NO: <br /> WIL$ONViLLE ELECfRIC iNC <br />~ BOX 84b <br />W[L~VILLE, 97070 <br />PHONE: 638-5353 <br /> <br />SUPERVISING ELECIRICIAN/NUMBER <br /> <br /> I 1 EM QUANT I l Y AMOUN f <br />BRANCH CIPC}IJiT, NIfHOUf SERVICE OR FEEDER- 1Sf CI~UiF t $35_00 <br />MRANCH Ci~UiI, WJlH~'i SE~iCE OR FEEDER - EA~ ADDITIONAL 3 AG,e0 <br />ELEC l RICAL 5 rArE ~A~E ~ ,05 <br /> <br />PAYEEt NiLSONV~LLE ELECFRIC 1NC <br /> <br />TOIAL ~E~EO FEES <br />PRE¥IOU$ RECEIPTS <br />IHIS RECEIPf <br /> <br />$43.05 <br /> <br />$4~. 05 <br /> <br />BALANCE ~,~g $0_00 <br /> <br />RECEIPf NO; 40902 <br /> <br /> RECEIVED BY: dm FYPE~ CK C~ECK ~: 301 <br />* TH18 i$ A VALID PER~iT * THIS PER~iT IfXPiRB 180 BAY~ FROf4 iTS 1,~12%UE DATE. iF <br />~T~CTI~ C~ ~R A PERIOD OF 180 DA~, OR IF ~T~CTi~ FAILS TO MEE1 ALL <br />RE~I~T~ OF ~TATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~iNG <br />~ALL B~E NULL ~D ~lD. <br /> <br />RPJ%ARK~: 4--C1R <br /> <br />OFFICE COPY <br /> <br /> <br />