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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />of a reglstered builder, <br />The work will be performed by a registered builder, <br />Other_ <br /> <br />OA'f'E: 05/01/92 TIME: 8:25:17 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> · <br /> <br /> DATE; <br /> <br />OWNER: TAX LOT: CATEGORY: <br /> GILBERT FARf4S <br /> <br />, SITUS ADDRESS'· CONSTRUCTION TYRE: OCCUEANCY: <br /> <br /> 9632 E~AFF RD .SE ........ <br /> AUfvISVILLE OR 9?325 CONTRACT ClTYZ , UGB'. oocuPAN;~ LOAD: <br /> tSIARiON COUNTY i NO <br />USE OF BUILDtNG; <br /> <br />RESI DENI'IA[ <br /> <br />MAILING ADDRESS: : SUBDIVISION; <br /> <br /> SITE NUI~BER: 92-01615 <br /> VALUAT i ON = <br /> <br />LOTi : BLOCKI .... ~§EE¥iB~: TOWNSHIP: hAhe~; ZONE'· <br /> <br />'FYPF.~ ELECTRICAL PERMIT OR APPLICATION NO: 39?08 <br /> <br />CC~N T RAC1'OR, NO+ 03964 <br />L 1 CE]~SE NO-* <br />John A Sp~r <br />10784 Mi'Il Cre~k Rd <br />Aumvi"l "te, 9?325-0000 <br />~E: 749-2971 <br /> <br />~UPERViSiNG ELECTRiCIAN/NU~IBER <br /> <br /> i I'EM <br />SER¥iCE/FEED~R LESS THAN 200 AMF~ <br />ELECTRICAL STATE $~JRCHARG6 <br /> <br />q~JAN'f'II'Y AMOUNT <br /> 1 $50.00 <br /> $2.50 <br /> <br />TO'FALASS~S,SED FEES <br />PR~V'IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$52.50 <br /> $ .oo <br />$52.50 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE= John ASpeer RECEIPT NO: 41754 <br /> RECEIVED BY: N8 TYPE: CK CHECK ~: 978 <br /> <br />* THIS IS A VALID PE~IT * THIS PER, IT EXPIRES180 DAY~ FROI~I, ITS lEagUE DATE. IF <br />~T~CTI~ ~ ~R A PERIOD OF 180 ~; OR if ~ST~CTi~ FA[~ TO ~ET ALL <br />~IR~TS OF STATE ~ ~D ~RI~ ~TY BUILDING ~O Z~iNG ORDiN~C~, THIS PE~i"r <br />~ALL B~E NULL ~D ~ID. <br /> <br />REMARKS: 200 SER <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />EORM# MO 15-5e R~V, 4/~o <br /> <br /> <br />