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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: 888~7904 <br /> <br /> l am a registered builder OR ( ) the authorized representative <br /> <br /> The work will be performed by 8 registered builder. <br /> Other <br /> <br /> I)/4TE: 03/25/?3 <br /> <br /> 6REEN,~ JOE <br />Situs AOg~SS <br /> <br /> TtMF: i8'.'27:~2 !WAXEa¥ .................. <br /> <br /> ],].65~ F'~L.[;O~I C]T .-- CONTRACT CITY; , UGB: OCCUPANT LOAD: <br />~USE Of BUILdiNg: ~ <br /> <br /> 28 ~AI,.,K]]blG WOOD DR <br />; L;AKE 0S~IE'.[;O~ OR ~7~35 : SITE NUflBER: <br /> <br /> . <br /> <br />TYPEs ELECTRICAL <br /> <br />CDI]TR~CTOR~ NJ). 35151. <br />LTCENSE <br /> PARKIN ELECTR];C :1:1,16 <br />20250 S HOLALLA AVE <br />OREGON CITY,~ 97045 <br />PHOI,IE~ <br /> <br />PERMIT OR APPLICATION NO: 4~946 <br /> <br /> SUPERVISING -]I,,,E CT R ]' C I Al,l/NUbi[4F'R <br /> <br /> ITEM <br />HANOFAC'FURED I-tO~E SERVICE/FEEDI:]R <br />I::,LI:.CIIxlCAI., STATE . URCHARGE <br /> <br />PAYEE: <br />RECEIVED BY;: F'H <br /> <br />QUANT];TY AMOUNT <br /> 1 $4. F;. 00 <br /> $2.00 <br /> <br />TOTAL. AmSI-".SSEI) FEES <br />PREV I00S Fd~JCE I P'rS <br />THIS RECEIPT <br /> <br />$4=.00 <br /> <br />BAI..Ad.,E DUE ¢0,, 00 <br /> <br /> RE J, I,,T <br /> ....................................................................... ,. .... TYPE: ~HECK :I~: 0 <br /> * THIS I~ ~ VALID PERHIT * THIS PERMIT EXPIRES 18~ DAYS FROH ITS ~SSUE D~TE. <br />CONSTRUCTION CERSES FOR A PERIOD OF 1~ DAYS~ O~ IF CDNSTRUCTZBN FAILS T~ NEET aLL <br />REQUIREMENTS 0F STATE LA~S AND MARION CUUNTY ~UIL~ING AN~ ZONING DRDINANCES~ THIS PERHIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARI'(S: fql"l SERVICE <br /> <br />I)ONCd..D F-,, i~OOI)LEY,~ MARZON C(]UN'fY ~U.T. LDIN(F, OFFICIAL/ E(Y <br /> <br />FO~m # mc ~s.~.e¢, 41~o OFFICE COPY <br /> <br /> <br />