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(-.~,) <br /> <br />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 - 4:90 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing WOrk on a property I own or occupy. <br />I a~ 8 registered builder OR the authorized represen <br />of a registered builder, <br />The Work will be performed by a registered builder. <br />Other., <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />DATE: 11/04/92 TIME: 15:58:51 <br /> <br />OWNER; <br /> BENDER, <br /> <br />SIYUS ADDRESS: <br /> <br />DATE'. .... //,'~ ¢,~ <br /> <br /> YAX <br />I'HOHAS , <br /> RESIDENTIAL <br /> <br /> : CONSTRUCTION TYPE; OCCUPANCY: <br /> <br />NO bF BEDROOMS <br /> <br /> SITE NUHBER: 92-05905 <br />PHONE: 769-7899 VALUATION: <br /> <br />LOT. <br /> <br />SECTION'. TOWNSHIP: ;' ............ RANGE'. : ZONE: MAP'. <br /> <br />WIDTN: <br /> <br />, NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ NO. <br />LICENSE NO: <br />BENDER, THOMAS <br /> <br />PERMIT OR APPLICATION NO: 4~67~ <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />PHONE: '76%-7899 <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />8ALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> 1 $50.00 <br /> $2.50 <br /> <br />$52.50 <br /> $0..00 <br />$52.50 <br /> <br />$0.00 <br /> <br /> PAYEE: SENDER, THOMAS RECEIPT NO: 45757 <br /> RECEIVED BY: DM TYPE: CK CHECK ~: 451 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE CATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REOUIREHENTS OF STATE LAWS AND MARION COUNTY BUILOINO AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARKS: 200 AMP SERVICE CHANGE <br />BONALO E. WOOOLEY, MARION COUNTY BUILDIN6 OFFICIAL / BY .................. ~ ............... <br /> <br />OFFICECOPY <br /> <br /> <br />