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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM1 OREGON 97301
<br />
<br /> PHONE: 588-5147 8:00 - 4:S0
<br /> 24 HOUR
<br /> CODE-A-PHONE: 588-7904
<br />
<br />I am p~rforming work on a property I own or occupy.
<br />
<br />Other
<br />
<br /> DA'I'[!.~: 82/25/93 T ]_NE~:
<br />OWNER:
<br />
<br /> 81.1ALii%TON NOR'I'HERN
<br />SITUS ADDRESS;
<br />
<br />TAX LOT; CATEGORY:
<br /> COHHI~!;Rf; .f AL.
<br />CONSTRUCTION YYPE~ OOGDPANGY;
<br />
<br /> 1250:¢ ARiq~OT R'O NE CONTRACT CITY: UGB: OCCUPANT LOAD:
<br /> AIJRORA OR '77¢402 NAr<ION ,;8UNIY: FIJI
<br />
<br />MAILING ADDRESS; SUBDIVISION:
<br />
<br />1515 WE:ST ;59TH STREET
<br />VANCOUV?'iE,~ WA 78~60
<br />PHONE 20~w696~"5772
<br />
<br />SITE HUMBER:
<br />VAI,.UATION::
<br />
<br />LOT: BLOCK: sEofI~N: TO~NSHIP: RANGE: ZONE: MAP:
<br />
<br />NO
<br />
<br />TYPE= ELECTRICAL
<br />
<br />C O,l,q, T R,,A, C T 0 F': ,¢ I,lO.
<br />I.. ]: (,EI'ISE NO:
<br />9URl...II,lf/fOl,1 NORTI,,IEEI,I RAil_ROAD
<br />],51, S B(i:ST ;~'7'I'H ~TI:~EET
<br />'¢ANOOLIV,[,~]:~, WA 98660
<br />PHOHE:r 206,.,.696-...5792
<br />
<br />PERMIT OR APPLICATION HO: 45535
<br />
<br /> SOPERVISIN(;. EI, F.:C'f'R:£[;:t'AI,MNUFIBE]:4
<br />
<br />Q U A I,I T 1 T Y A f'l 0 H I,] T
<br /> 3. s 50 ,..4 ~
<br /> ~2,. bO
<br />
<br />TOTAL ASSE.~SED FI':ES
<br />PREVIOUS FtECEIP'r8
<br />TH:[$ RECEiPI'
<br />
<br />BALANCE DUE $0.0¢
<br />
<br /> PAYEE:~ ~)URI,.INGTON=J',I~4T, h~,RN RAII. ROAB ~E'CEIF'T NO:t 477©
<br />
<br /> $ THIS IS A VALID PERHIT ~ THIS PERMIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF
<br />CONSTRUCT[OH CEASES FOR A PERIOD OF 18~ DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL
<br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZUNIN~ ORDINANCES, THIS PERMIT
<br />SHALL BECOME NULL AND VOID.
<br />
<br />RI::,iIARKS:r 20OAM:' SFRV 1,10 C:I. Rf.,U]"'" "f,'R CONTRACTOR RICI4ARI) E DICK$ON
<br /> ~,22979 [..I...l.,,[, I I', ,[ ,,Al,,, OOI,ITF~ACTOR ~-:1,9'1, C
<br />
<br />[;ENI::'RAL ,)UI ttv', , ( I
<br />
<br />):){:IFIAL. b r-'., W(:OPI.EY,, Nhk:[OI COtlr, ITY BO].L:OIN6. OI:.'F"rc'rAL / BY
<br />
<br />FORM # MC 15-56 REV, 4/90 OFFICE COPY
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