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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;: 588-514'7 8:;00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> O.~fE: rj5/,75/90 ¥i¢4E: 10:44:29 <br />SITUS ADDRESS <br /> <br />'~0251 5HA~h ROAD 5b <br />AU~5¥LLLE OR 9?325 <br /> <br />MARION C'OUN '['Y NO <br /> <br />OATEOOHY <br /> RgGIOEN1 i~L <br /> <br /> ~,ON [7; /49-264.8 <br /> <br />LOT Bt OCK SED FION TOWNSHIP <br /> <br />wlOfH DEPTII AR~A U NIT,~ <br /> <br /> ~17~ Nur~I~EN: 10211 <br /> VALUAIJON~ <br />PANGE 7ONE <br /> NO NO <br /> <br />MAp <br /> <br />[YPP..: ELEC'~ RiCAL <br /> <br />.(]N ¥ RAC f OR NO. <br /> <br />PERNtf OR APPLiCAfION NO: 2435? <br /> <br /> ~A. PERViSiNG ELbCI RiCiAN/NU~B£R <br /> <br />~C~E: ?~9-2648 <br /> <br />SERV CHANGE ONLY-EXiSfING RESIDENCE <br />FLEEr SURCHArgE -ZONE 3 <br />ELECfRICAI_ SfA/'~ ~K~HARGE <br /> <br />P~YE~: PRJ, DL)Y, i?~¥E <br /> <br />fOTAL ASSE~£O FEES <br />PREVIOUS ~ECEIRfS <br />IRIS RECEIP~ <br /> <br />OUAN/IIY APOUNf <br /> $30.00 <br /> <br />$3b ,~4 <br /> <br />8ALANCg DUE <br /> <br />R~CEiP1 NO: 258!1 <br /> <br /> RECEIVEU ~Y,, DM;_-' lYRE: CA CHECK ~: <br /> ~ THIS IS A VALID PER~iT ~ THIS PER~4JT ~XPiP~S 180 DAYS ~RO~ ITS I~...SUE DATE_ iF <br />CONSTRUCTION CEASP~ FOR A P~RiOD O~ 180 ~AYS, OR iF' CONSTRUCTION FA~L.S lO BEET ALL <br />~tOUiR6MF_~T5 OF STATE i_~ .Q'¢O MARION COUNTY 8UILOIN~ ~iND ZONING ORDINANCES. THIS PERMIT <br /> ALL BECOME NULL AND ¥OID. <br /> <br />RE. RKO SERV CHGg R~3A 14 <br />DONALD E. WOOOL~Y, fv~ABION COUNf¥ BUiLDiNG OFFiCiAL <br /> <br /> OFFICE COPY <br />FORM # MO 15-56 REV 4,90 <br /> <br /> <br />