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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9"7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other_ <br /> <br /> DATE: 10/65/93 TTNE: 14.4,J.46 <br />ow.~n: BRESHEARS,~ SHIRLEY <br /> <br /> 26095 HUBBARD CUT-OFF RD NE <br />AURORA OR 9?002 <br /> <br />TAX LOT C T- Y <br />~i~SNC~UNTY ~g~ OCCUPANT lOAD; <br /> <br />USE OF BUILDING: <br /> <br />SUBDIVISION: <br /> <br />PHOHE: 678-1737 <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />;LOT: :BLOCK: <br /> <br />SECTION; <br /> <br />AREA: <br /> <br />MAP; <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ NO. <br />LICENSE NO: <br />BRESHEARS~ SHIRLEY <br /> <br />PERNIT OR APPLICATIOH NO: 5843] <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 678-1737 <br /> <br /> ITEM QUANTITY AMOUHT <br /> SERVICE/FEEDER LESS THAN 208 AMPS 1 $56.60 <br /> ELECTRICAL STATE SURCHARGE $2.50 <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS $0.80 <br /> THIS RECEIPT $52.50 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: BRESHEARS~ SHIRLEY RECEIPT NO: 52824 <br /> RECEIVE~ BY: BN - TYPE: CA CHE6K ~: 6 <br /> $ TNIS IS A VALID PERMIT 8 THIS PER~IT EXPIRES 188 DAYS ~RUN ITS ISSUE DATE. <br />CONSTRUCTION CEASES FOR A PERIOD ,OF 188 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REOU~REHENTS OF STATE LA~S AND HARION COUNTY DUILDZHG ~HO ZONIHG DRDINANCES~ THIS PERNIT <br />SHALL DECONE HULL AND VOID. <br /> <br /> REMARKS: SERVICE CHGE <br /> DONALO E. WOODLEY~ MARION COUNTY BOIL~IHG OFFICIAL / BY .............................. ~ <br /> <br />FORM # MC 15.56 REV, 4/¢0 OFFICE COPY <br /> <br /> <br />