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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 />l am a registered builder OR ( )theauthorizedrep~esentat~ve <br />of a registered builder. <br /> <br /> EMERY, 0ALE <br /> <br /> 9694 GOLF' CLUB ROAD <br />Aur45v! L,LE 9?' 325 <br /> <br /> CONSTRUCTION TYPE: <br /> <br />CONTRACT CITY; UGB: <br />.~ARION. COUN Y NO <br /> <br />MAIL NG ADDRESS SUBDIV~SION <br /> <br />CATEGORY: <br /> RE51 DEN'~ IAL <br /> <br />OCCUPANCY: <br /> <br />: OCCUPANT LOAD: <br /> <br />NO OF BEDt~0OM5 <br /> <br /> PHONE: SI TE NUttiER: 198~. <br /> VALUA'f' i ON: <br />LO'L ' BLOCK SECTION; TOWNSHIP RANGE ZONE; <br /> ~, 95 '~J EF'U <br /> 5. AL; YE~, NO <br /> <br />MAP: <br /> <br /> 60 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 443~4 <br />LICENSE NO: <br />~i~tJLL[VAN'S ELEC'rRJC <br />PO BOX 417 STAYFON 97383 <br /> <br />PHONE: 769-7124 <br /> <br />PER~41'I' OR APPLICATION NO: 32488 <br /> <br /> SUPERViSiNG ELgCTRiCIAN/NUMBER <br /> MURRAY l'. ~JLL~VAN/133BS <br /> <br /> ITEM <br />S£RViCE/FEEOER 101 TO 400 /¢'1PS <br />E:L. EC'f'RICAL STA]'g SURCHARGE <br /> <br />PAYEE: ~ULLiVAN'S ELECTRIC <br />RECE[VEO BY: P8 <br /> <br />QUAN'T'i'T'Y AMOUN1' <br /> $60.00 <br /> <br />I:O'FALA~S~ED FEES <br /> PRE¥[OUS RECEIPTS <br /> THiS RECEIPT <br /> <br />$63_0~ <br /> $o.oo <br /> <br />BALANCE BUg $0_00 <br /> <br />RECEIPT NO: 34277 <br />'T'YPE: CK CHECK ~: 2~78 <br /> <br />$ THI~ IS A VALID PERfflIT * THIS PERMIT EXPIRE~ 180DAY~ FROR /TS i.~.~E DATE, IF <br />CC~ISTRUCTiON C.E,A.,,.~ FOR A PERIOD OF150 DAY~, ORiF CONSTRUCTION FAILS TO I~rEE~ ALL <br />REQUIRI~ENTS OF STATE ~ AND [~ARION COUNTY BUILD[NG AND ZONIN~ ORDINANCE[S, THIS P~F~lZT <br />5~HALL BECOI~E NULL AND <br /> <br />REMARKS: SERV R~5492 <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFF~CiAL / BY ............................. ~. .................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />