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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NC= <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> <br />I am performing work On a ~roperty I own or occupy ~ <br />~ am a registered buiLder OR the authorized reoresentative SIGNATURE OF APPLICANT: ~ <br /> at a registered builder. <br />The work will be performed by a registered builder, <br />Other ....... <br /> <br /> this document. <br /> <br />OWNER; CATEGORY. <br /> DATE: 03/15/93 TIME: I2:59:17 <br />S~TUS ADDRESS: OCCUPANCY' <br /> KILBOUARN,~ STANLEY RE ~;IDENTIAL <br /> OCCUPANT LOAD. <br /> <br /> SE <br /> OR 97~25 .o o* ~o~ooMs <br /> <br /> BUILDS 1072~ HILl CREEK <br />USE OF ~ NSVII.,i,.E <br /> <br />MA~LING ABBRESS: <br /> <br /> PHONE,~ 74?-2220 <br /> <br />TAX LOT <br />CONSTRUCTION TYPE <br />CONTRACT CI~ UGB <br /> <br /> MARION COUNTY NO <br /> <br />SUBD VISION~ <br /> SITE NUHBER: <br /> VALUATION: <br /> <br />LOT; <br /> <br />[WIDTH: <br /> <br />BLOCK: <br /> <br /> GEPTH: <br />TYPE: ELECTRICAL <br /> <br />SECTION; TOWNSHIP: RANGE: ZONE; <br /> NO bio <br /> <br />PERNIT OR APPLICATIOH NO: ~5828 <br /> <br />MAP: <br /> <br />CONTRACTOR~ NC),, 45109 <br />LICENSE NO: <br />DAVID STORGEON <br />413§4 RIDGE DR <br />SCIO. ?7374-0000 <br />PHONE: 76~-7724 <br /> <br /> ITEN <br />SERVICE/FEEDER LESS THAN 208 AMPS <br />BRAI~CH CIRCUIT. WITH SERVICE OR FEEDER <br />EI,.ECTRICAL STATE SORCHARGE <br /> <br />PAYEE: DAVID STURGEON <br /> <br />SUPERVISING i~],,.ECTR I C I AN/NUNBER <br /> <br />'TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AHOONT <br />I $50.00 <br />1 $2.00 <br /> <br />$54,,60 <br /> $0,,00 <br /> <br /> RECEIVED BY: PM RECEIPT NO: 480:~0 <br /> TYFE, CK CHECK ~: <br /> <br />CONSTRUCTION CEASES FOR A PER[OD OF 18~ DAYS~ OR IF CONSTRUCTIDH FAILS TO NEET ALL <br /> <br />SHALL SECOHE NULL AND VOI~. <br /> <br />REMARKS: RELOCATE SER~ 1 FEEDER <br /> <br />DONALD E. WOODL. EY~ MARION COUNTY BOILDING OFFICIAL / BY <br /> <br />FO.U ~ aC ~S4~ REV, '~0 OFFICE COPY <br /> <br /> <br />