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Permit - 1271890
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Permit - 1271890
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Entry Properties
Last modified
3/2/2011 3:06:33 PM
Creation date
9/3/2003 8:44:44 AM
Metadata
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Template:
Permits
Permit Address
8612 SHAW SQ SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
10216
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2~5 <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 />I am performin9 work on a grogerty I own or occupy. <br />I em 8 registered builder OR ( ) the authorized recresentative SIGNATURE OF APPLICANT <br /> <br /> Other ...... <br /> <br />LIArE: 09/06/91 f'JME-+ 32:2'f:36 <br /> KL) l' f RE, ~Y <br /> <br /> SHAW SQUAR~ RE <br />ALJNNVILLE OR <br /> <br /> CONTRACT CITY: UGB <br />........ MARION CQLI.NI'II'Y . NO <br /> <br />RES 1LiI:l'4 f }-AL , <br /> <br />SUED VISION: <br /> <br />8613 fSHAW ~UARE RD Nb: <br />AUJViSViLLE, OR 9?325 <br />PHONE: 364-2318 <br /> <br />LOT RLOCK: SECTION: <br />WI~)I'H' OEPTN: AREA <br /> <br /> VALUA [ON: <br /> <br />AC NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO 0~- BEDROOMS <br /> <br />49 <br /> <br /> 10216 <br /> <br />ZONE MAP: <br /> <br /> AR3 <br />CORNER <br /> YE~5 <br /> <br />f'YPE: ELEC'f'RZCAL. PERMiI' OR APPLICAf'1ON NO: <br /> <br />C~NTRACf'OR, NO. <br />L.tCENSE <br />KO[IRE, RAy <br />8613 ~-tAW ~QUARE R~ ~E <br />AUM:','~VILLE, OR 9?325 <br />PHONE: 364-2318 <br /> <br />SUPERVISING ELEC'f'R~CiA~N/NUMBER <br /> <br /> If'EM <br />'I'ENP SERV/FE~LIER LESS THAN 200 AI~4PS <br />EL. EC'fRICAL SfAf'E SURCHARGE <br /> <br />QLI/:~I'i'f'Y AN~_INf <br /> 1 $35,00 <br /> $1.75 <br /> <br />'FO'FAL~ESSED FEES <br />PREViOU~ RECE~PT~ <br />'~HIS RECE[P'¥ <br /> <br />$36. ?5 <br /> $0.00 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> PAYEE: KO/I'RE, RAY ~x¢ '~ ,RECEIPT NO: 388'/3 <br /> R~CEiVED BY: PB g~c'r) TYPE: CK CHECK ~: 1879 <br /> <br />* fHIS IS A VAL[0 PE~iT ~i ;:THIS P~IT ~PIR~ 180 ~ F~ ITS [~E OATC. iF <br />~T~CTI~ C~ ~OR A PERIOD OF 180 ~, OR IF ~ST~CTI~ FAi~ TO MEET ALL <br />~IR~T~ OF ~TATE ~D ~RI~ ~NTY BUI~iNG ~O Z~iNG ORDiN~C~, THiS PE~IT <br />~ALL B~E NULL ~D ~IO~ <br /> <br />REMARft$: 'I'EMR R'~,2581 <br /> <br />LIONALD E. W#,,X)OLEY, MARION COUNTy BUiLD,lNG OFFiCiAL / BY <br /> <br />~oR~, ~c ~-se REV, ,~ OFFICE COPY <br /> <br /> <br />
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