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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 />Other <br /> <br />J ~ave read and ag Os to the terms stated on the reverse ,side of <br /> <br />J)ATE: 05/20/9:~; TIME: <br /> <br />KAI'4ES I-IIDEWAY/SAM LAidOI,IT <br /> <br />TAX LOT CAT6GORY, <br /> R E' S ]: D E hi 'l' I A L <br /> <br /> 538 CI,,,ESTER RD <br />DETRO IT OR <br /> <br />PO 90X 572 <br />DIE'fROIT OR ~7~4~ <br />PNONE: 854-;3;362 <br /> <br />BLOCK: <br /> <br />97342 DETROIT bis <br /> <br /> S'rTE NUMBER.' 93-~1~ <br /> VALUATION; <br /> <br />DEOTION: TOWN'NIP: , R~I'dG E'i ZONE: MAP; <br /> <br />WIDTN: <br /> <br />N0 NO <br /> <br />TYPE: ELECTRICAL <br /> <br />COI,ITRAC'roR~ NO. 5896? <br />LICENSE NO: <br />W;illiar4 T Crawford <br />Po Box 645 <br /> <br />PERMIT OR APPLICATIOH NO: 4688~ <br /> <br /> SUF'ERV~SING EI.[-;C Tr~,[ C IAN/N U MBE k <br /> <br /> :g'rEM <br />8ERVICE/F'E¢:DER I,,,E~S THAN 200 AHPS <br />BRANCH SIR.CUIT~ WITN SERVIOE OR FEEDEI~ <br />EL. EC,,TR.I:CAL STATE SURCHARGE <br /> <br />QUANT:[TY AMOUNT <br /> <br /> 16 $;,~2.00 <br /> $9.10 <br /> <br />TO'['At. ASSESSED FEE8 <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$191,, 10 <br /> $0.00 <br />$19].. 10 <br /> <br /> PAYEE: W:i, lliaM T 6raw'ford ~,./r(~.~,~ RECE]:PT NO: 4947~ <br /> RECEIVED BY: ld _~,~_.. TYPE: ck CHECK ,~: 30:1,2 <br /> <br /> ~ THIS ~S A VALID PERMIT ~ THIS PERMIT EXPZRE5 180 DAYS F~DM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD QF 188 BAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />S~ALL BEC0~/ NULL AND VOZS. <br /> <br />,!EMA[J\S ,, <br /> <br />DOIIALD E. <br /> <br />3,-200 Ai~F' SVC 16 C:I:R - RV SITES <br /> <br /> WOI)DI.,,F.Y,~ MARION COUNTY :t'~LIILD]:I,IG OFF]:C:[AL. / BY <br /> <br /> OFFICE COPY <br />FORM # MC ~-56 REV. 4/90 <br /> <br /> <br />