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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 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE;: 588-7904 <br /> <br />Other. <br />I tlave read and agree to the terms stated on the reverse side of DATE <br /> <br />OWNER <br /> <br /> OA{~: 11/17/90 rIME: 11:~0:46 <br /> <br /> RO~kR] SARF i ELD <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION' T~' <br /> 57708/5'1707 <br /> <br /> CONTRACT CITY ! UGS <br />AUf~VI LLB NO <br /> <br />Lot4dOND: ?49-~B~;~ SEC'TION <br /> 11 <br /> <br /> TOWNSHIP <br /> <br /> UN~TS <br /> <br />25 <br /> <br />8S <br /> <br />~86N1~ NU~ER: :ZONE 11591 <br /> VALUAT I ON: <br /> <br /> IRREG LOT CORNER <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> RESI DEN iAL <br /> <br />OCCUPANT LOAD <br /> <br />: MAP <br /> <br />55 113 82t5. <br /> <br />SF NO NO <br /> <br />FYPE: EL~'FRiCAL <br /> <br />CON If:b~.CIOR, NO. 38238 <br />LI~NS~ NO: <br />$AN Ii/&M MO~IL~ HOME3 <br />11373 MILL~Rb~K RD SE <br />AUMI~VILLE OR 97~5 <br />PHONE: 769-7744 <br /> <br />~UFACFURBD H~E 3E~ICE/FEEOER <br /> <br />PE~IT OR APPLiCAIlON NO: 28367 <br /> <br /> SUPBRVISJNG ELEC1RICIAN/NUMBER <br /> <br />C~JANflTY <br /> <br /> ANK)UN 1 <br /> $?0.00 <br /> $3.5O <br /> <br /> tOtAL ~a PEES $73.b0 <br /> PREY iOUS RECEIP1S <br /> THiS RECE[PF $:~6.75 <br /> <br /> PAYEE: R~EIPr NO: 30&04 <br /> RECEIVED ~Y: ~] TYPE: ~BCK ~: 0 <br /> <br />z THiS IS A VALID PE~IT ~ THIS PE~IT ~PIR~ 180 DA~ F~ iTS i~E ~E. IF <br />~5'r~cfl~ c~B ~R A PERIOD CE 180 DA~, OR IF ~ST~CTI~ PAi~ TO MEET ALL <br />REdIReCTS OF STATE ~ ~D ~RI~ ~NTY BUILDING ~D Z~ING ORDIN~C~, THi~ PERRiT <br />~4ALL B~E NULL ~D VOID. <br /> <br />RF~'IARKS: ~ SVC/CON <br />LYONAL0 E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ~ .............. <br /> <br />~On~ ~ Mc ~-5~ ney 4~o OFFICE COPY <br /> <br /> <br />