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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STRPET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work WUI be performed by a registered builder. <br /> Other <br /> I have read Ahd agree to the terms statod on the reverse side of <br /> tb~s document, <br /> <br /> DATE: 07/24/92 TIME: 13:51:14 <br />OWNER' <br /> ARESTAD, BRUCE <br /> <br /> ray LOT. CATEGORY: <br /> RESIDENTIAL <br /> <br />CONSTRUCTION TYPE OCCUPANCY' <br /> <br /> 1;5102 ARNOT ROAD NE <br />AURORA OR 9 1002 ~j~,~c~ C~i~:UNTY UGE~NO <br /> <br />'U~E OF' ~L)ILblNO; <br /> <br />SUBDIVISION: <br /> <br />,OCCUPANT LOAD[ <br /> <br /> N~ Of BEOROOMS <br /> <br />SAME <br /> <br />PHOME: 678-5158 <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />92-027~3 <br /> <br />LOT; BLOCK: ~ECTION: TOWN~HIP: RANGE ZONE MAP: <br /> 3 4S 1~4 EFU ~ <br /> 28. ~C YES NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />ARESTAO, BRUCE <br />SAME <br /> <br />PHONE: 678+5158 <br />ITEM <br /> <br />PERHIT OR APPLICATION NO: 9041500 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> QUANTITY AMOUNT <br /> BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER ~ iST CIRCUIT 1 $~5.00 <br /> BRANCH CIRCUIT. WITHOUT SERVICE OR FEEDER - EACH ADDITIONAL 6 $12~00 <br /> ELECTRICAL STATE SURCHARCE $2.55 <br /> <br /> TOTAL ASSESSED FEES $49.55 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $49~5 <br /> BALAMCE BUR $0.00 <br /> PAYEE: AREST~D. BRUCE./'~ RECEIPT NO: 4~55~ <br /> <br />* THIS IS NOT A PERH]I'. THiS APPLICATION HUST GO'THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLO#ING MUST BE COHPLETED. IT IS THE RESPOMSIB[LITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY IHFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br />REMARKS: 7/CIR <br /> <br />DATE ............. <br /> <br />CITY JURISDICTION: BY ........ DATE <br /> <br />OFFICE COPY <br /> <br /> <br />