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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 9~301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 PM - 8;:00 A,,M,, <br /> <br /> of a registered builder <br /> <br /> Other <br /> <br />DATE: ql3/~.1/98 TIME-+ 1:59~48r~ <br /> LEPIRE, KEN <br /> <br />SIGNATURE OF APPLICANf <br /> <br /> DATA .. <br /> <br /> TAX LOT <br /> <br /> 12652 FRY RD NE <br />AURORA OR 97002 <br /> <br />MARION COUNTY <br /> <br />, UGB <br /> <br />SuSOIvISlON <br /> <br /> SANE <br /> <br /> PHONE: 678-2522 <br /> <br />i CT i BLOCK ~ECTION <br />22 <br /> <br /> 150 290 43500.0 <br /> <br /> SITE NUMBER: <br /> VALUATION .' <br /> <br /> FLANGE <br /> <br />4S 1(4 <br />SF NO <br /> <br />NO <br /> <br />iCATEGO~Y <br /> RES I DENT; AL <br /> <br />'OCCUPANCY <br /> <br />~OCCUPANT LOAD <br /> <br />NO OF 8EOROOM$ <br /> <br /> ~,074 <br /> <br /> ZONE MAP <br /> 5 <br />CORNER <br /> NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />12049 <br /> <br />CONTRACTOR, NO. 6281 <br />LICENSE NO: <br />ENGELMAN ELECTRIC <br />P.O. BOX 451 <br />HUSBARD, OREGON 9?032 <br />PHONE; 981-8041 <br /> <br />SUPERVISING ELECTRICIAN/NUHBER <br />NM. ENGELMAN <br /> <br /> ITEM <br />C/I SERV 101-200 AMPS <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANT I TY A~}UN T <br /> $50..00 <br /> <br /> 50 <br /> <br /> TOTAL A~ESSED FEES <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $60_19 <br /> <br /> BALANCE DUE <br /> <br />PAYEE; ENGELMAN ELECTRIC RECEIPT NO: 12789 <br />RECEIVED BY: dm TYPE: OK CHECK ~: 982? <br />* THIS IS A VALID PERMIT * THIS PEI;$4'IT EXPIRE~ 180 BAYS FROM ITS IS.SUE DATE_ IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF'CONSTRUCTION FAILS TO MEET ALL <br />RE(~JIREDIENTS OF STATE LAWS AND ~ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~IT <br />.SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: 200 AMP <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OEFICIAL / BY <br /> <br />FO~M '~ '4( '5 58 ~g~ t~,.~ OFFICE COPY <br /> <br /> <br />