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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 performin( work on a property [ cwrl or Occupy, <br />I am a registered builder OR ( ) the authorizod representative <br />Ct a registered builder, <br />The work will be periormed by a registered builder. <br />Other , <br /> <br /> DATE: 12/22/92 TINE: ,1,5:51:18 <br /> BLAZER INDUSTRIES <br /> <br />TAX LOT: <br /> 57806~-000 <br /> <br /> 945 OLNEY <br />AUNSVlLLE OR 97525 <br /> <br /> ~ATEGORY: <br /> <br />, RES :DEN': IAI <br />OCGdPANCY: <br /> <br />: CON'IRACT CITY: UGh: <br />i AUHSVILLE NO <br /> <br />: OCCUPANT LOAD: <br /> <br />SN..VERTON OR 97581 <br />PHONE:: 749-5962 <br /> <br />SITE NUHBER: <br />VALUATION: <br /> <br />LOT; BLOCK: <br /> <br />965 <br /> <br />SECTION: <br /> <br />TOWNSHIP; RANGE: ,: ~ONE; <br /> <br />,DE'TH; ' AREA; ! UNITS= I IRREG, LOT: I CORNER: <br /> 460 44~900. SF ~ NO YES <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 44547 <br /> <br />CONTRACTOR~ NO. <br />LICENSE NO: <br />BLAZER INOUSIRIES <br />PO ~0× 335 <br />$ILVBRTON DR 97581 <br />PRONE: 749-'5962 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> : l .E'F¢ QUANT I TV A~OUNT <br />BRANCI. I CIRCUIT, WITHOUT SERVICE OR FEEDER ,.~ 1, ST CIRCUIT 1 <br />BRANCN CIRCUI'F NtTHOUT SERVICE OR FEEDER -' EACH ADDII'iONAL 15 $30.,00 <br /> <br />TOTAl_ AoSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$ 6.5~ 0 o <br /> $ 0. o 0 <br />$6 5_ OS <br /> <br />BALANCE DUE SO.OB <br /> <br />PAYEE: BLAZER INDUSTRIES RECEIPT NO: 4670S <br />kECEIVED BY: PH .................................................... TYPE: CE CHEGK iF:; 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF ~80 DAY~, OR IF CONSTRUCTION FALLS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AMD VOID. <br /> <br />DONALD E. WOODLEY~ <br /> <br />~IARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />