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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 />HAIFIELD,, S I'E'VE~ <br /> <br />TAX LOT CATEGORY RB[OB1 [AL <br /> <br /> ?932 TERR/~ICE LAN~ SE <br />tURNER OR 97`392 <br /> <br /> CONTRACT CITY UGB OCCUPANT LOAD <br />fCC. R 1 ON COUNTY NO <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br />,EC, LF_,Pl OR 97304 <br />PHONE: 362-6,335 SITE NUi'~BER: <br /> VALUA'F I ON <br /> <br /> 26 85 2~ AR <br /> 82 ~:¢0 18860 . SF NO NO <br /> <br />51 <br /> <br /> IYPE: ELEC1RICAL PERMIT OR APPLICATION NO; 9030804 <br /> CCNfRACfOR, NO. SUPERViSiNG ELECTRICIAN/NUM~ER <br /> LICENSE NO: <br /> <br /> SALP_~ OR 97304 <br /> PHONE: 362-5335 <br /> <br /> [ f~M QUANT llY <br /> PtN',IUFACI'UREO HOME SERVICE/FEEDER 2 $70.00 <br /> ELEC"IR1CAL ~TAI'E ,SUROI-iARGE $S.50 <br /> <br /> TOTAL ~Et;~4~ED F~EE~ <br /> P~-CE.¥ I C)L~ RECEIP1 S $0+00 <br /> THiS RECEIPT $0.00 <br /> <br /> BAL.~'~CE C~JE $?3.50 <br /> <br /> PAYEE: /3.4 RECEIP [ NO: <br /> RECEIVED BY: PEt ~ TYPE: <br /> 0 <br /> <br />~ THiS ,[8 NOT A PEI~IT. THIS A~I(7,,ATI01~I NUST GO THRISU~fl A REV.[E~ I:~ I,~I"IERE THE <br />FOLLOWIN~ IqU~T BE COf4Pi..JETEO. IT 13 THE RI~SP(~IBt[.,[TY OF THE ~PLIC~NT TO A...~RE THAT <br />AU_ NECESSARY INFDI~ATIC~ HAS 19EEN PROVIDED. <br /> <br />PLAN REVIEW: BY .................... DATE ........................ CITY JURISDICTioN: BY ............... DALE_ ......... <br />RPSctARK.~: SSRV/CONN <br /> <br />FORM ¢t MC ~-~ ~EV ./~0 OF FICE COPY <br /> <br /> <br />