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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 />registered builder, <br /> <br />DA?E: 09/21/70 fax LOt; :~A~rEGbRY: <br />BETHEL, DARREL & MARSNALL, CALVIN , ~8~--~1~ , COMMERCIAL <br /> <br />CONTRACT OIYV: u~: ~60Ub~,NT LOAO: <br /> <br /> 130 148 .1,50160 ;~RD ST --- <br /> AUMSVIL, LE OR 97~2~ , AUMSVILLE NO <br /> <br /> 0¢ §diEb~& :NO OF 8EOROOMS: <br /> <br />MAILING A~DRESS; : SUBDIVISION'. <br /> MERRZFIELD A~ITION <br /> 5494 R~RION RD SE .................................... <br /> <br /> PHONE: 76~--3597 i VALUATION: <br /> <br />;WIDTH'. :DEPTH; ~ AREA; t UNITS: , I~REG, LOT: [ OORNER; <br /> ~,e8 : ~.~e~ ~eeee, ' SF ~ NO YES <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR,~ NO. 90600 <br />L,ICENSE NO: <br /> RELIANT ELEC TI',IC <br />PO BOX 9~ <br />STAY'fON~ <br />PHONE: 769,-9~32 <br /> <br />PERMIT OR APPLICATION ND: 58088 <br /> <br /> SUPERVISING ELEC'fRICIAN/NUM~{ER <br /> <br /> I'IEH <br />SERVICF/FEEiOER LESS I'HAN 280 AMPS <br />ELECTf~ICAL STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PRE¥IO( ~ RECEIP'f9 <br />· THIg: RECEIPT: <br /> <br />OUAI,iTITY AMOUNT <br /> 4 $~00.00 <br /> $t0.00 <br /> <br />$210.00 <br /> $0.00 <br />$210.00 <br /> <br /> ..... RECETPT NO: §2455 <br /> FAYEE,, RELIANT ELECTRIC : <br /> RECEIVED BY: PM /: :'::' ::: :::TYPE: CK CHECK :~: 1~46 <br /> <br /> ~ THIS l~ A VALI~ PER~IT ~ THI~ PERHIT EXPIRE~ 188 ~AY~ FROH IT~ iSSUE ~ATE. I~ <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 :DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE LAW~ AND MARION COUHTY BUILDING AND ZOHIHG ORBINANCES. THiS PER~IT <br />SHALL BECOME HULL AND VOID. <br /> <br />REMARKS: 4-,100 AMP SEE - FOURPLEX <br /> <br />DONALD E,. WOODLEY~ MARION COUNTY BUILDING OFFICIAL. / BY ................................................... <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/90 <br /> <br /> <br />