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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 />TIME: 12: 59'. 27 <br /> <br />OWNEn OL~SON , ROGER <br /> <br />TAX LOT <br /> <br />RESIDEN [AL <br /> <br /> 660 MICHAEL WAY <br />AUMSVILLE <br /> <br />OR 97325 <br /> <br />CONSTRUCTION TYPE <br /> <br />ue~40 <br /> <br />OCCLJPANDY <br /> <br />OCCUPANT LOAD <br /> <br />4833 JUNIPER CT N <br />KEIZER OR 9?303 <br />PHONE: 749-1911 <br /> <br />SUSDI~ISION P~ROEL <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br />7930 <br /> <br />SEO~IOM 25 ~OWNSHm 8S ~MG~ 2N ZON: RS <br /> <br />MAP 51 <br /> <br />~'YPE: £LECTRIC~.L ,,, <br /> <br />CONTRACTOR, NO_ <br />LICENSE NO: <br />OL$ON, ROGER <br />4833 JUNIPER CT N <br />KEIZER OR 9?303 <br />PHONE: 749-1911 <br /> <br />p~OMTT OR AP?!C~TI¢~! N)n. , 227~q <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />TWO OR MORE NEW CIRCtJITS;ALT OR EXT <br />PLEET ~URCHARGE ~ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AHOUNT <br /> $30,00 <br /> $3.84 <br /> $1.50 <br /> <br />$35.34 <br />$35.34 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERI,lIT * THIS PERNIT EXPIRES t80 DAYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 ~YS. ~OR IF ~ST~I~ FAI~ TO NE~ ALL <br />R~IR~TS OF STATE ~ ~D ~EI~ ~N~ BUILDING ~D Z~ING ORDIN~C~, ~IS PE~IT <br />~ALL 8~E NULL ~D~ID.: <br /> <br />RF-.J~RKS: 2+CIR GARAGE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />