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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:: $88-7904 <br /> <br />of a registered builder <br /> <br />OW~I E: 10/29/90. rIME: 9:35t00 <br /> <br />situs ,'*BDRE~-'~CERI (i~RPIELO <br /> <br />TAX LOT <br /> <br />CATEGORY <br /> <br />OCCUPANC~ RE~! DEN[ i AL <br /> <br />200 l'rH <br /> <br /> CONTRACT CITY ' U(~B OCCUPANf LOAD <br />AUIV~Vi LLE NO No or <br /> <br />MAI( lNG ADDRESS SUBDIVISION <br /> <br />EVENY. CRE EN ~IA I-ES <br /> <br /> PHONE: '/49-~ ~54 .51 I E NUf~'z3ER: 1 Il 591 <br />LOTBLOCK SECTION TOWNSHIP RAr~V.."~LUAT .[ ON: ZONE MAP <br /> <br />WIDTH 11 DEP"H AREA 25 UNITS 8~ IRREG LOT 9[~ CORNEr; ~ <br /> <br />fYPE: ELECFRICAL PERi, IT OR APPLICATION NO: 9028387 <br /> <br />CONIRACIOR, NO. 38238 <br />LICENSE NO: <br />~NFIAf¥11VIObJIL6 HOMES <br />11373 MILLCREEK RD SE <br />AUIV~ViLLE OR 97325 <br />PHONE: 769~7744 <br /> <br />SUPeRViSING ELECIRICiAN/NUMBER <br /> <br />I~IANUFACFUR~O HCY4E SERV[CE/FEEBER <br />ELECTRICAL SIAIIE FSURCHARGE <br /> <br />$35.00 <br /> <br />TOTAL ~E~£O FEE3 <br />PREVIOUS RECEtP1S <br />IrHl~ RECEIPT <br /> <br />$38.?5 <br /> ~0.00 <br />$35.75 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: 5ANIIAM IW..~iLE hC..,~F.~ R.~EIpIr NO: 299/2 <br /> RECEIVED BY: PR )YPE: iN ~ECK ~: 0 <br />* THiS 18 NOT A PE~iT+ THIS APPLICATI~ ~ST ~ TH~ A R~I~ P~ ~ERE THE <br />FOLdiNG ~ST BE ~PLETED. IT IS THE R~SIBILITY OF THE APPLI~'I' TO ~RE THAT <br />ALL NEC~ iNFO~TI~ H~ 8E~ P~iDED. <br /> <br />PLAN REVIEN: BY <br /> <br />R~MARK~3: ~ CONN <br /> <br />DATE ............................ CITY JURiSDICflON: BY DATE <br /> <br />OFFICECOPY <br /> <br /> <br />