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MARION COUNTY BUILDING INSPECTION <br /> SENATORBLDG NO 225 <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 />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />°W rE= 01/09/91 rIME.* <br />~l~US ADORES~ER~;~Cb*~NN, ROY <br /> <br />9273 SHA~ SQ~JARE RD <br /> <br />15:38:51 <br /> <br />975.25 <br /> <br /> TAX LOT <br /> CONSTRUCTION TYPE <br /> CONYF1ACT CITY <br /> <br />MAR J;ON COUNTY <br /> <br /> SUBDWISION <br /> <br />UGB <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY RE.~[ DEN I IAL <br /> <br />OCCUPANT LOAD <br /> <br /> 9254 SHAW EC~JARE RD SE AUMSVILLE <br /> <br />LO'T Bt OCK S~CTION <br /> <br />TOWNSHIP <br /> <br />~iTE blurtER ~ <br />R^N~LUA r iON: <br /> <br />11610 <br /> <br />MAP <br /> <br />,UNITS 8,~ 'I~REG LOT 2¥~1 :0ORNER <br /> <br />ARS 49 <br /> <br />1YPE: ELECTRICAL <br /> <br />C6~'fRAC'FOR, NO. <br />LICENSE NO~ <br />HERP2&&NN, ROY <br />DE, fREE HERF~IANN - ~iLE ~ER <br />9254 SHAN~S(~JARE RD ~E AU~VILL <br />PHONE: 364-1333 <br /> <br /> iTEI~t <br />I~¢IUFACTURED HQME SERVICE/FEEDER <br />PLEEI' f~JRCHAR(~E -ZONE ~ <br />ELE*CTRICAL STATE ..MJRCHARt~E <br /> <br />PERMIT OR APPLICATION NO~ 29401 <br /> <br /> SUPERViSiNG ELECTRICIAN/NUMBER <br /> <br />f, tJANlI1Y At4~UNT <br /> 2 $70.00 <br /> ~3.84 <br /> <br /> TOTAL A~BSF_.E~ED FEE~ <br /> PREVZOU3 RECEIP'r8 <br /> THiS R~CEIPI' $0.00 <br /> <br /> 8ALANC~ DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: CL TYPE: CHECK ~: 0 <br /> <br /> * THiS l~ A VAL[O ~:~i;~[T · THI~ PER~[~ E~PIRE~ 180 DAY~ EROS1 iTS ISSUE DATE. iF <br />C~N3TRUCT[ON CEA~k'~ FOR A PERIOD OF 180 DAY~, OR IF CON~TRUCTION FA[I.~ TO t4EET ALL <br />E~dR~-~L~LIREI~ENT$ OF SLATE ~ AND MAR[ON C~UNTY BUILDING AND ZONING ORDINANCES, THIS PEI~IIT <br /> L BECOME NULL AND VOI~, <br /> <br />REII~R~: (,,~D/'~N & SERV R~t3447 <br /> <br />[X~NALD E. NOODLEY. I~.R[ON COUNI'Y BUlLOIN60FFiC[AL / BY ~ <br /> <br />FORM # MC 15-56REV 4/90 OFFICE COPY <br /> <br /> <br />