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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 <br /> CODE-A-PHONE 4 30 PM- 8::00 A M~ <br />lam perform,r~9 ~vork on~ property I own ar occugy , , <br />~,~-I ~ a registered builder O~ ~~-- ~ the au[hodzed repr~e~tatN~ .............. ~IGNATU~E OF A~ <br />of a registered bu~der <br />T~ork will be performed bye registered builder ,- <br /> <br />03/09/89 TIME: 9:35:48a TA× LOT r-,AT EGOH Y <br /> <br />BEN,:~ONS FIVE OAK ~L~ ~ERCIAL <br /> <br />13964 EHLEN RD NE CONTR~,CTCITY U~g OCCUPANT LOAD <br />AURORA OR 9?002 <br />U~EOFBUIL01NG MARION COUNTY NO NO OFBEDnOOMS <br /> <br />SUBDWISLON <br /> <br />SAI',IE <br /> <br />PHONE: 678-2316 <br /> <br /> LOf BIOC~ <br /> <br /> SITE NUMBER: 8598 <br />SECTION TOWNEHIP ~[L~JATION: ZONE MAP <br /> <br />AREA 1~ UNITS 4S IRREG MT 1W CORNER eR 3 <br /> 0.50000 AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />8ENSONS FIVE OAK SALES <br />SANE <br /> <br />PHONE: 678-2316 <br /> <br />PE~4IT OR APPLICATION NO: 14404 <br /> <br /> ,SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASS~ED FEES <br />PRE'VIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> ITEM <br />ONE NEW BRANCH CIRCUIT;ALTER OR EXTEND <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> <br />,,~JviOUNT <br /> $20.00 <br /> $7_68 <br /> $1.00 <br /> <br />$28.68 <br /> $0~00 <br />$28.68 <br /> <br />$0.00 <br /> <br />PAYEE: RECEIPT NO: 15275 <br />RECEIVEO BY: pr TYPE: CHECK ~: <br /> <br />* THis IS A VALID PERMIT ~ THIS PEENIT EXPIRES 180 DAYS FRO~I ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIRENENTS OF STATE LAJNS AND I~IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~4IT <br />SHALL BECOME NULL AND VOID+ <br /> <br />REF~RKS: 1ClR R~7269 <br /> <br />DONALD E. NOODLE"Y, HARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />