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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 performing work on a property I own or occupy. <br /> t am a registered builder OR ( ) the ~utl~orized representative SIGNATURE OF APPLICANT: <br /> of a registered builder, <br /> The work will be per[ormed by a registered builder, <br /> Other <br /> <br /> D~TE: 07/20/92 TIHE: 11:39:38 <br /> <br />~81~U~ ADDRESS'. .......................................................; CONSTRUCTION TYPE; ~ OCCUPANCY: <br />: ~0 ERIN STREET -- ~ <br /> <br /> [ NO O'F BEDROOMS: <br /> <br /> SAME <br /> SITE NUMBER: ~2-02222 <br />~ PHONE: 854~5728 ~ VALUATIOH: <br /> <br />WIDTH: lO0 ~DEPTH: ilo~"*""*: ilO00. ~UNIT~;F, ~i I~, LOT. <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 41556 <br /> <br />CONTRACTOR, NO. 10875 SUPERVISING ELECTRiCIAN/NUMBER <br />LICENSE NO: <br />Cherry City Electric Inc <br />PO Box 12668 <br />Salem, 97509-0000 <br />PHONE: 399-7609 <br /> <br /> ITEM QUANTITY AMOUNT <br />MANUFACTURED HONE SERVICE/FEEDER 1 $40.00 <br />ELECTRICAL STATE SURCHARGE $2.00 <br /> To.TAL ASSESS:ED FEES $42_00 <br /> PRE.VI:OUB RECEIPTS $0.00 <br /> THIiS']RECE!;pT $42.00 <br /> <br /> $o.oo <br /> <br />PAYEE: Cherry City . ,RECEIPT NO: ~3403 <br />RECEIVED BY:.DN2 : :':':~ TYPE: OK CHECK ~: 286'71 <br /> <br />* THIS IS A VALID PERMIT z THIS PERMIT:EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR ~ PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS RNB.:MARION COUNTY BUILDING AND:ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: MFG HONE SERVICE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILOING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />