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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STRE~=T NE <br /> SALEM, OREGON "97301 <br /> <br /> PHONE: 588-8147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: C'?/08/9 ] Tlr4E; <br />OWNER: TAX LOT: CATEGORY: <br /> ANDERSON. ]'O~ <br />~ITUS ADDRESS: CONSTRUC~ION TYPE: ; OCCUPANCY: <br /> <br /> I 1:599 tvKCCLP~L_LAN LANE SE <br /> AUM~SVI LL~ OR 9?325 <br /> <br />USE O~ SUIL01NG: <br /> <br />, ooN'FRA~T CITY: <br /> <br />~ARtON CFOUN'f'Y <br /> <br />MAILING ADDRESS: <br /> <br />: SUBDIVISION: <br /> <br /> BOX 63 <br />WES'I SIAYf'ON 97325 <br />'->Pit?NE: ?89-3823 <br /> <br />9238 <br /> <br />~iT'E NUMBER: <br />VALUATiON~ <br />RANGE: ZONE~ <br /> <br />LOT: BLOCK: SECTION: :TOWNSHIP: : MAP: <br /> <br />NO NO <br /> <br />TYPE: ELECI~iCAI_ <br /> <br />CQNf'RACI'QR, <br />LICENSE NO: <br />ANDERSON. TON <br />PO BOX 63 <br />WESI S]AYT©N 97325 <br />PHONE: ~69-3823 <br /> <br />PERf4If OR APPLICATION NO: 33539 <br /> <br /> SUPERViSiNG ELECf'RICiAN/NU~BER <br /> <br />5ERVICE/F'EEOER lO] f'O 400 AMPS <br />EL. ECTRIBAL STATE SURCHARGE <br /> <br />PAYEE: ANDERSON, <br /> <br /> TOTAL A.~.~EOFEES <br />PRE¥IOUSR~CEiP'f'B <br /> 'f'HZSRECEi:PT <br /> <br />QUAN I [ T Y AlvlOuN f <br /> 'f $60). 03 <br /> $3.0D <br /> <br />$63. <br /> $ U, <br />$63, <br /> <br />BALANCE DUE $O,U(; <br /> <br />RECEiP'T NO: 35345 <br /> <br /> RECEIVED BY: D~2 TYPE: CA CHECK ~: 0 <br /> <br /> *THiS IS A VALIB PER~IT <br />~ST~CTi~ C~ F~R A PERIO0 OF 180 ~. OR IF ~ST~CTI~ FAi~ l'O MEET ALL <br />~IR~TS OF ~TATE ~ ~D ~R[~ ~NTY BUILD,N6 ~D Z~IN60RDIN~C~. TH~ PE~1T <br />~ALL BEdE NULL ~0 <br /> <br />REMARKS: 20ti AMF' ."_SERV CRGE R~7894 <br /> <br />[)ONALD E_ NOOOLEY, rCC, R!ON COUNTY BUiLDiNG CP'PICZAL / BY <br /> <br />FORM # MC 15-56 REV, 4/~0 OFFICE COPY <br /> <br /> <br />