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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> lamaregister~dbui[derOR( ) the authorized representative <br /> Other <br /> <br /> DATE: 08/26/92 TIME: 7:56:46 <br />OWWE~'. GUILE~ OAVIO J. <br /> <br /> 4~0 SANTIAH H~Y N~ <br /> DETROIT OR 97~42 <br /> <br />CONSTRUCTION TYPE'. <br /> <br />CATEGORY. <br /> ~ESJDENI'IAL <br /> <br />OCCURANCYI <br /> <br />OCCUPANT LOAD <br /> <br />MAILING ADDRESS'. SUBDIVISION ~ ~ <br /> 6717~ 14TH AVE NE i?0 <br /> KEiZER 97303 WK 399-3302 SITE NUMBER: 92-03058 <br /> PHONE: 390-"i1~7 VALUATION: <br /> <br />[0~' ' ~LO~K: SECTION; TOWN~HIP'. ........ RANGE <br /> <br />WIDTH' DEPTH' AREA; UNITS: R~, LOT: <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 42150 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />GUILE~ DAVIO <br />6717 .... 14TH AVE NE <br />KEIZER 9750~ <br />PHONE: <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SER/ICE/FEEOER LESS THAH 200 AMPS <br />BRANCH CIRCUIT, WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $50.00 <br />i $2_00 <br /> $?.60 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />$54.6O <br /> $0.00 <br /> <br />BALANCE OUE $0.()0 <br /> <br />PAYEE:: OUILE, DAVID g. RECEIPT ND: 442D4 <br />RECEIVEO BY: OM2 .................................. ~__ TYPE: CK CHECK ~: 346 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF lSO DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: PERMANENT SERVICE OK PER CiTY OF DETROI~ <br /> <br />DONALD E. WOODL, EY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 1§-86 REV. 4/~0 OFFICE COPY <br /> <br /> <br />