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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 />Other <br /> <br />OWNER: <br /> DA'rE: 03/13/91 <br />SITUS AODRESS: JOHNSr. L,~I, JIN <br /> <br />'Fi~E~ 17:23:22 <br /> <br /> 19872 OLtVCS'fEAD RD <br />us: o~1~:~: OR "' 9'/'OfJ2 <br /> <br />MAILING ADDRESS: <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTIOK TYPE 73350w080--87 OCCUPANCY RESIDEN'I <br /> <br />GONTRAOT CITY: ' JGB: 2CCUPANT LOAD; <br /> <br /> I~-~RI ON COUNTY NO <br /> <br /> 5Af4E <br /> DAY 682~2420 <br /> PHONE: 678-5:133 <br />LOT ~LOCK ~ECTfON: <br /> <br />81:!:8. NtJt4BE~: 530, <br />RA~G~ VALUAT iON:°N~ ~A~: <br /> <br />WIDfH DEPI'H: AREA <br /> <br />:19 <br /> <br />UNIT8 RREG. LOT~ CORNER <br /> 4S ~W EF~J 6 <br /> <br />ELECTRICAL <br /> <br />O'ON'rRACTOR. NO. <br />LICENSE NO: <br />JOHNSON, JIM <br />SANE <br /> DAY 682-2~20 <br />PHONE: 878-5133 <br /> <br />PER~IT OR APPLICATION NO: 30629 <br /> <br /> SUPERVISING ELEC'FRICIAN/NUr48ER <br /> <br /> i'I'EM <br />rqANUFAC'FUREB HOffiB SERVICE/FEEDER <br />ELECI'RICAL STATE SURL,SHARGE <br /> <br />TOTAL .,'~45e,;,,',,',,',,',,',~SED FEF..5' <br />PREVi C~JS RECEIPTS <br />THiS RBCBI PT <br /> <br />QUANTi'T'Y f4cICUNI' <br /> 1 $35.00 <br /> $1.75 <br /> <br />36.75 <br />$o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: 0 <br />RECEIVED BY: CL2 TYPEt CHECK ~: 0 <br /> <br /> THIS IS A VALID PEI~IiT * THIS PERffiiT I~XPIRE~ 180 DAY,~ FIF~ffi ITS i~E ~TE. iF <br />~ST~CT[~ C~ ~R A PER[OD OP 180 ~, OR IF ~T~TI~ EAI~ TO R~T ALL <br />~1~ OF STATE ~O ~I~ ~TY BUILDING ~O Z~ING ORDIN~C~, THIS ~IT <br />~ALL 8~ ~LL ~O ~IO. <br /> <br />REf4ARKS: CONN R~5230 <br /> <br />DONALD E. WOODLE¥, rflARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15.56 REV, 41~ OFFICE COPY <br /> <br /> <br />