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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: 58847904 <br /> <br />I Am De Cfm nDwork on a property I own or oooupy. <br />I ~m 8 registered builder OR { ) the authorized representative <br />of a registored builder, <br />Tho work will be performed by a registered builder, <br />Other <br />[ hsve read arid agree to the terms stated on the reverse side of <br />this document. <br /> <br /> OA'[E: 02/L9/93 TIME: 9:5l:53 <br />OWNER: TAX LOT; <br /> <br /> NORTH ,SANTIA~f SCHOOL. <br />SITUS ADDRESS; CONSTRU~I~ TYp~: <br /> <br /> 8902 SANI'IAH LOOP _._ CONTRACT CITY' JGB: <br /> <br /> AUifiSVJ:L,L.E OR 97325 ARI()N 'JOt. 'Y NO <br /> <br />MAILING ADORESS SUBOIVISIONI <br /> <br />CATEGORY. <br /> <br /> CGHHERC <br />OCCUPANCY: <br /> <br />OCCDPANT LOAE <br /> <br /> PHGNE: 769-5300 <br /> <br />LOT :BLOCK: SECTION: TOWN~HIP <br /> <br /> WlOTId'. DEPTH'. AREA'. UNITS; <br /> <br /> SITE NUItBER-~ 95-00644 <br /> VALB~TION: <br /> <br />RANGE; ZONE <br /> <br /> qREG. LOT CORNER' <br /> <br /> NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CON'rRAcI'OR, NO. 59944 <br />L i C, ENSE NO: <br />aO'l' SECGRIIY SYSTEM <br />703 NE BANCOCK <br />FIORTLANG, 9'7212 <br />PHONE: 284"-5265 <br /> <br />PERMIT OR APPLICATION NO: 45428 <br /> <br /> SUPERVISING ELECTRIC [AN/NUMBE:.R <br /> <br /> Il'EM <br />SIGNAl.. CIRCUIT(S) OR LIHIIED ENERGY PANEL <br />ELECI'RICAL STATE SURCHARGE <br /> <br />(~UAN'F I'FY RM[, MT <br /> 1. $z[ U, 00 <br /> $2, oO <br /> <br />TOTAL ASSEooEE FEES <br />PREVIOUS RECEIFITS <br />THIS RECEIPT <br /> <br />$ 42. B () <br /> '$ B. B 0 <br /> <br />BALANCE DUE SO.OB <br /> <br />PAYEE: ADT SECORITY SYSTEM >~'l ,REC~IP,T, NO: 4761. G <br />RECEIVED BY: 1.0 U,._~,.,. TYPE: OK CHECK I~: '?LC <br />................................... ~ ,-.. ~:':: t:: % %',,':'?; t%%'~ %% t% %' ':";'.";t,~'% ::;~::.1% ,.','~.". TAT: ~ ::' % .-- .......................... <br /> <br />* THIS IS A VALID PERMIT m THIS PERMIT EXPIRES 180 DAYS FRON ITS ISSUE DATE_ IF <br />CONSTRUCTION CEASES FOR A PERIO0 OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND HARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PER~II' <br />SHALL BECOME NULL AND VOID. <br /> <br />RE{HARKS:; LIMI'tED <br /> <br />[)OHALB E. NOODt. EY, MARION COGN'FY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />