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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLD(~. NO, 225 <br />220 HTGH s'rREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am a registered builder OR { }theauthorizedrepresen~atlve <br />Other <br /> <br />I have read and agree to the terms stated on the reverse sido of <br />this document. <br /> <br />' OWNER: <br /> BENTOI% DENNIS & LOLA <br /> <br />8:14:19 <br /> <br />TAX LOT: CATEGORY <br />90220-370 [~ESIDENFIAL <br />CONSTRUCTION TYPE gCCUPANC' <br /> <br /> 435 SANTIAM AVE NW GONTRAGTCITY: UGB; ]CCUPANT LOAD; <br /> .... ~ DE <br /> DETROIT OR 9734~ rROI"f' NO <br /> <br />USE OF BUI~.DING'. .............. NO OF B~OHOOMS <br /> <br />MAILING ADDRESS SUGD VLSIO~: <br /> HAMMOND <br /> PO BOX 866 <br /> HINES OR 977~S SITE NUHBER: <br /> PMOHE: 573-'~239 VAI.~AI'ION: <br /> <br />LOt. BLOCK; SECTION TOWNSHIP RANGE: ZONE <br /> <br /> 18 S .0] .... 10 5E C <br />WIDTH. OEPTH: AREA JNtT8 ~REG. LOT CORNER <br /> <br /> 143 IS1 18733. SF I10 YES <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTR~CTOR, NO, <br />LICENSE NO: <br />BENTON, DENNIS & LOLA <br />PO ~OX 866 <br />HINES OR 97738 <br />PHONE: 573-S~9 <br /> <br />PERHIT OR APPLICATION HO: 47862 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANI,IF'ACTUI~ED HOME SERVICE/FEEl)ER <br />EI_ECTRICAL STATE SURCHAR~-E <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $40.00 <br /> $2,, 00 <br /> <br /> $42.00 <br /> $0,, 00 <br /> $42.00 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: BEI,ITOM~ ~ENNIS & LOLA RKCE£PT NO: 49~I~ <br /> RECEIVED BY: DM2 ..................................................... TYF'E: OK CFIECK ~: 9191 <br /> <br /> * THIS IS A VALID PERNIT * THIS PER~IT EXPIRES 18~ ~AYB FROM ITS ISSUE DATE. IF <br />CQHSTRUCTIOH CEASES FOR A PE~IO~ OF 188 DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REQUIREHENTS OF STATE LAWS AN~ HARION COUHTY BUILDIH~ AHD ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AHD VOID. <br /> <br />REMARKS: MH SERVICE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL, / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.58 REV. 4/90 <br /> <br /> <br />