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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 />DATE: 10/05/92 TIME: 16:1:[:26 <br />JOHNSON, MELVIN <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT <br /> <br />SITtJS ADDRESS: <br /> <br /> 5785 821,10 AVE SE <br /> AUMSVILLE OR 97325 <br /> <br />CONSTRUCTION TYPE <br /> <br />~tl~Q~,P~lgl] U NT Y <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />NO OF BEOROOr~S <br /> <br />MAILING ADDRESS: <br /> <br /> SAME <br /> <br /> PMONE: ~70-.7129 <br /> <br />.... SI~E 'HUH~ER~""95:~444 <br /> VAI_UAT~ON: <br /> <br />LOT; SI. DOE; SECTION'. TOWNSHIP: .... R,~f~G ~ ZONE: <br /> <br />MAP: <br /> <br />WIDTH. ' ' <br /> DEPTH: AREA 0. UNITS m~ LO] CORMr~R: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTQR~ NO. <br />LICENSE NO: <br />JOHNSON~ MELVIN <br />SAME <br /> <br />PHONE: <br /> <br /> ITEM <br /> <br />PERHIT DR APPLICATION HO: 5a4G7 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> QUANTITY AMOUNT <br /> BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - 1ST CIRCUIT I $35.00 <br /> BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER EACH ADDITIONAL 2 $4.00 <br /> ELECTRICAL STATE SURCHARGE $1.95 <br /> TOTAL ASSESSED FEES $40.9§ <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT <br /> BALANCE DUE $0.~0 <br /> PAYEE: JOHNSON, MEL~VIN,/') ~ : RECEIPT NO: 52830 <br /> <br />CONSTRUCTION CEASES FOR A PERIOD oF10~:DAYS~ OR IF CONSTRUCTION FALLS TO MEET ALL <br />REGUIRENENTS OF STATE LA#SANDHARION COUNTYBUiLD~NGAND ZONING ORD[NAHCES. THIS PERHIT <br />SHALL ~ECONE NULL AHD <br /> <br />REMARKS; ~/CIR ONE TO BARN~SPA AND ONE ALTERATION <br /> <br />~OMALD E. WOODLEY~ MARION COUNTY BUILDING OFFICIAl_ / BY <br /> <br /> OFFICE COPY <br />FORM ~ MC 15-56 REV. 4/90 <br /> <br /> <br />