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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: 588-7904 <br /> <br /> I arfl perfo ming work on a property I own or occupy. <br /> <br /> of a rogistered builder, <br /> <br /> ])ATE,, 10/0'?I93 T'fME: <br />OWN~; CBM DEVELOPMENT <br /> <br />SITUS ADDRESS: <br /> <br /> I2094 EHLEN RD NE <br /> AURORA DR 97002 <br /> <br />¢~8~N~fERCIAL <br /> <br />~ONSTRUCTtON TYPE: <br /> <br />OCCUPANCY: <br /> <br />OCQUPANT LOAD: <br /> <br />1~1~ ENLEN RD NE gONTACT 364-6611 <br />AURORA OR ??002 JEFF GAt. LAGER <br />PHONE: 678-1020 VALUATION: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> BLOCK; ,S~CTION: ~W~HIP; RANG~: ~ONE: MAP: <br /> 9 49 1W ID 4 <br /> <br />'TYPE: EL~cTRICAE pERH~T OR APPLicATIoN HO: ~e275 <br /> <br />CONTRACTOR~ NO. 08277 <br />LICENSE NO= <br />,~c~oy Electric Co <br />ru ~ox 424~8 <br />Par~land, 97242-0008 <br />PHONE: 254-75~1 <br /> <br /> ITE~ QUANTITY <br />~ER¥ICE/FEE~ER LES~ THAN 208 AMP~ <br />ELECTRICAL ~TATE SURCHARGE <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSEBSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $50.08 <br /> ~2.50 <br /> <br />$52.50 <br /> <br /> $0.~0 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RECEIVED BY: PB ................ ; ................. TYPE: CMECK ~: 8 <br /> $ THIS IS A VALIB PERflIT % THIS P£RHITEXPIRES 188DAYSFROH ITS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR APERIOD OF 188 BAYS~ORIF CONSTRUCTION FAILS TO HEET ALL <br />RE~UIREflEHTS OF STATE LA~S AND ]~AR/ON COUNTY BUILDING AND ZONING ORDINANCES, THIS PERflIT <br />SHALL i~IE~E NULL ANO VOID. <br /> <br />REMARKS: SERVICE ONLY *$$N0 CIRCUITS*S* <br />DONALD E. WOODL. EY, MARION COUNTY BUll. DING OFFICIAL / BY ................ ~ ..................... <br /> <br />~n~g, *~/~-- ......... ' OFFICE COPY <br /> <br /> <br />