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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 /> <br />SIGNATURE OF APPLICANT <br /> <br /> DA1 E <br /> <br /> 0ATE: 02/01/89 TIME: <br />OWNER <br /> <br /> DETROIT STATE PARK <br />SITUS ADDRESS <br /> <br />1:33:10p <br /> <br />TA×LOI <br /> <br />CONSTRUCTION TYPE <br /> <br />OCCUCANCY <br /> <br />RESIDENTIAL <br /> <br /> 47 MiLE <br />O E T RD I 'f <br /> <br />NO SANTIAM HNY SE <br /> OR 97342 <br /> <br /> CONTRACT CIT~ <br /> <br />MARION COUNTY <br /> <br />UGB <br /> <br /> NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />MAIL lNG ADDRESS <br /> <br />SUSOiVISION <br /> <br />20024 SILVER FALLS HNY SE <br />SUBLIMITY OR 97385 <br />PFIONE, 873-858 I <br /> <br /> 3 !0 <br />104,000 AC <br /> <br />WIDTH <br /> <br />SITE NUMBER; 5.943 <br />VALUATION; <br />RANGE ZONE <br /> <br /> 5E <br /> NO NO <br /> <br />TYPE- ELECI'RICAL PERMIT OR APPLICAT;ON <br /> <br />13818 <br /> <br />CONqRAC'I'OR, NO. 45933 <br />LICENSE NO: <br />PACIFIC COAST BLEC ,,INC. <br />~.O_ BOX <br />STAYTON, OR 97383 <br />PHONE~ 769-7~71 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />LEONARD MYERS <br /> <br /> ITE~ <br />C/I $ERV 101-200 AMPS <br />PI.~E'1%URCHARGE -ZONE ? <br />ELECTRICAL STATE SURCHARGE <br /> <br />P~.YEE: PACIFIC COAST gLEC.,INC. <br />RE~.:EI',,/ED BY: c] <br /> <br />QUANT ~ TY AMOUNT <br /> 1 <br /> $8.95 <br /> $s,50 <br /> <br />TOTAL ASSE~ED FEES <br />RRB'VIOUS RECEIPYS <br />THIS RECEIPT <br /> <br />$82.46 <br /> $000 <br />$82 46 <br /> <br />BALANCE DUB $0,00 <br /> <br />RECEIPT NO; 14652 <br />TYPE: CK CHECK ~: 3127 <br /> <br />* THIS IS A VALID PER,lIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 BAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LANS AND f4ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOf4E NULL AND VOIB. <br /> <br />REMARKS: SERVICE !00-200 AMP BOOTH BLDGR'b5882 <br /> <br />0ONaL0 E. WOODLEY, MARION COUNTY BUILDING OF*FLCZ,~L / BY .................................. <br /> <br />FOnM~'MCI~-~e Hb~ 11~8 OFFICE COPY <br /> <br /> <br />