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I am a registered builde¢ OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br /> <br /> DATE: 10/16/92 TIME: 12:56:27 <br /> MORRISON, RONALO 56113000 RESIDENTIAL <br /> .... ' " ' ' OCCUPANCY: <br /> <br /> 9844 KEENE LN SE i~r~{~ch~ ....................... ~T~UNTY UC.~ 'OCCUPANT LOAD: <br /> AUMSVILLE OR 97325 NO' <br /> <br />:MAILING ADDRESS: <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;30 <br /> 24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />SAHE <br /> <br />PHONE: 749-1018 <br /> <br />SiTE NUHBER: 92-03697 <br />VALUATION: <br /> <br />,LOT'. <br /> <br /> 380 i 521 <br /> <br />1.9 83 1W AR5 <br /> 197980. SF NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />MORRISON, RONALD <br />SAME <br /> <br />PHONE: 749-1018 <br /> <br />PERMIT OR APPLICATION NO: 9043269 <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: HORRISON, RONALO <br /> <br />QUANTITY AMOUNT <br /> 1 $40.00 <br /> $2.00 <br /> <br />TOTAl_ ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$42.00 <br /> $0.00 <br />$42.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> 45350 <br />RECEIVED BY: CL ...................... ~ ............ =_ : TYPE: CA CHECK ~: 0 <br /> <br />RECEIPT NO: <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPDNSIEILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY, ........... DATE .............. CITY 3URISDICTION: BY .......... DATE ............ <br /> <br />REMARKS: HH SVC <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />