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MARION COUNTY BUILDING INSPECTION <br />S~NATORBLOG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 91301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other. <br /> <br />//-;z 7 - ?¢ <br /> <br /> DA'I B: 1t/21/90 <br />OWNER <br /> <br />TAX LOT <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />20421 ~3(~N~5 [;E.RRY RD <br /> OR <br /> <br />910C2 <br /> <br />NE <br /> <br />¢4AN~ON COLJN !Y NO <br /> <br />OCCUPANT LOAD <br /> <br />~A~E <br /> <br />PHON&: 015- 1794 <br /> <br /> ~iIE NUIV~ER: 11235 <br /> VALUA [ Z ON: <br /> <br />22 4~ ~ ~FU <br />7. AC NO NO <br /> <br />MAR <br /> <br />TYPE: ~LEC'IRI <br /> <br />CONIRACIQR, NO. <br />LICENSE NO: <br />NILO~.R ~ NAMUEL <br /> <br />P~:-RMiT OR ADPLiCAIION N(,): 90289f$3 <br /> <br /> 5tJDERVI$ING EL~C l RiCIAN/NUMB,:R <br /> <br />BRANCH CIRCUITS - FWO f'O <br />(~L~':C 1 ~tlCAL. <br /> <br />FOIAL A~E~ED PEE~ <br />fHI$ RECEI P'I <br /> <br />$52.50 <br /> $0, <br />Sb2,b0 <br /> <br />BALANCE EXit. $// 0U <br /> <br /> RECEiVbD L4v- ~ .~_~ lYRE: OK CHECK ~: 3053 <br /> <br /> * THiS I5 NOF A PE~iT. THIS APPLICATION ~ST <br />POLL~iN6 ~NI 8~ C~PL~TED, IT i8 TH5 R~SIBILX'FY OF tHE APPLICANIf lO A~URE THAT <br />ALL NE¢~A~ tNPO~Ti~ H~ BEE~ <br /> <br />DAlE CiTY JURi~DlCflON: BY OATL~ <br /> <br />OFFICE COPY <br /> <br /> <br />