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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON.,~J?S01 <br /> <br /> PHONE: 588-51;~7 8:00'-4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a reSistered builder. <br /> Other <br /> this documer~t. <br /> <br /> DATE: 10/14/92 TIHE: 14:27:2& <br />: OWNER: .................................................. [ TAx 'Lo~[; .......................... <br />~ US FOREST SERVICE~CELLULAR ONE ! COMMERCIAL <br /> <br />; DETROIT OR 97342 ; RA',~Y"0'N ~0UNTY ~ NO' i ' <br /> <br />iUSE O~ ~I.JILD[~N_G~_ !NO OF BEDROOMS: <br /> <br /> i HHY 22 TO FRENCH CRK TO ~2223 <br /> 409 SW 9TH AVE .......................... <br /> PORTLAND, OR 97205-3208 ! SITE NUMBER: <br /> PHONE: 248~7491 VALUATION: <br /> <br />.LOT: [ 8[.OCK !!~ECT ON ~[ TOWN,HIP: I RANGE; I ZONE; ~ MAP'. <br /> I ' <br /> 9 10 5E ~ TC 104 <br /> <br /> TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 43205 <br /> CONTRACTOR: NO. 04296 SUPERVISING ELECTRICIAN/NUHBER <br /> LICENSE NO. <br /> BUILDERS ELEC <br /> 293 MONROE <br /> EUGENE OR, <br /> PHONE: 485~0922 <br /> <br /> ITEM QUANTITY AMOUNT <br /> SERVICE/FEEDER LESS THAN 200 AMPS~ 2 $100.00 <br /> BRANCH CIRCUIT, WITH SERVICE OR:'FEEDER : 6 $12,00 <br /> ELECTRICAL STATE SURCHARGE': $5.60 <br /> <br /> · A E FEES $117.60 <br /> · ;PREVtOUS RECEIPTS $0.00 <br /> <br /> ':: RECEIPT NO: 45280 <br /> PAYEE: BUILDERS ELEC .:::.::...::: ~YPE: CK CHECK ~: 20467 <br /> RECEIVED BY: DM2 <br /> <br />* THIS ZSA VALID DAys FROM ITS ISSUE DATE. <br />CONSTRUCTION CEASES FOR OAY$~ OR ~E'CONSTRUCTZON FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND'MARiON:COUNTY 8UIED~NG AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID: : :, <br /> <br /> REMARKS: 2 SERVICES/GCIR : : ' ~,~ <br /> <br /> DONALO E. WOODLEY, MARION COUNTY BUILDING;OFFICIAL / By ................... <br /> <br />OFFICE COPY <br /> <br /> <br />