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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 />of a registered builder. <br /> <br />Other. <br /> <br />S~N^TU.E Or APPUCANT~;~.~ ~ <br /> DATE'. .... <br /> <br /> KLEIN, ROGER ;; 75290090 ] RESIDENTIAL <br /> <br /> 9554 FRIENDLY ACRES RD SE ~Oh~XCf'd,~V: ~0~: <br /> AUMSVILLE OR 97325 HARION COUNTY~ NO <br />USE OF BUILDING; ~0 OF BEDROOMS <br /> <br /> SAME <br /> SITE NUHBER: 92-0~405 <br /> PHOHE: 585-7~60 ~ V~LUgTION: <br /> <br />LOT; <br /> <br /> 3. AC NO NO <br /> <br />TYPE: ELECTRICPJ. <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />KLEIN, ROGER <br />SAME <br /> <br />PHONE: 585-7460 <br /> <br /> ITEM <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - 1ST CIRCUIT <br />BRANCH CIRCUIT, WITHOUT SERVICE 0R FEEDER EACH ADDITIONAL <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERHIT OR APPLICATION HO: 43892 <br /> <br /> SUPERVISING ELECTRICIAN/NUHBER <br /> <br />QUANTITY AMOUNT <br />i $35.00 <br />Z $2.00 <br /> <br /> TOTAL, ASSESSED FEES $38,85 <br /> PREVIOUS RECEIPTS $0,00 <br /> THIS RECEIPT $38.85 <br /> BALANCE DUE $0~00 <br /> PAYEE: KLEIN., ROGER RECEIPT NO: 4596~ <br /> RECEIVEO BY. CL TYPE: CK CHECK I¢: 2936 <br /> <br />* THIS IS A VALID PERMIT'* THIS PERMIT EXPIRES 180 DAYS FROM iTS ISSUE ~TE. IF <br />CONSTRUCTION CEASES FOR A PEEl'OD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREHENTS OF STATE LA#S AND MARION' COUNTY BUI'LDIN6 AND 'ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. ' ' <br /> <br />REMARKS: 2 CIR <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o~u ~ ac ~s.~ ~v. ,~.o OFFICE COPY <br /> <br /> <br />