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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 />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />OWN~C~,~E: 06/17/81 f 1'ME: 14: 24.: 01 <br />SITUS ADDt3EE~ Hf")MP~ON' MICHAEL <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANC~ <br /> <br />RE~iDEN ! <br /> <br /> 10024 NISEACRE LANE NE <br />AURORA OR 97001 <br /> <br />CONTRACT CITY UG8 OCCUPANI LOAD <br />IVlARION COUNF'¢ ' NO ,o o~ ~r~R00MS <br /> <br /> PHONE: 878-2'f66 ~iIE NUI'48ER: 13074 <br />lOT SLOCK SECTION TOWNSHIP SAN~VEALUA i''[ON; ZONE MAp <br /> <br />WIDTII DEPTH AREA UNITS IRREG LOT CORNER ~ <br /> 140 147 20580. ~F NO NO <br /> <br />TYPE: ELECIRICAL <br /> <br />CONI RAC f OR. NO. <br />LICENE, E NO: <br />r HOCvlPI-GON. M,[CHAEL <br />bASlE <br /> <br />PHONE: 6?8-2?86 <br /> <br />PERffllT OR APPLiCAllON NO: 32468 <br /> <br /> SUPERVI~IN6 ELECTRICIAN/NUFIBER <br /> <br /> ~lPJ~ <br />r~ANUFACfURED HONE ~ERVICB/FBEOER <br />BL.~CIRiCAL SLATE ,S¢.JRCHARGE <br /> <br />QUANiZTY A~OUN! <br /> 2 $?0.00 <br /> $3.5o <br /> <br />FOFAL A.~5~E8 FEF_~ <br />PRE¥1OUS RECEiP1S <br />'¥H[S RECEIPT <br /> <br />~73.50 <br /> ?3-50 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIP[ NO: <br /> <br /> RECEIVED BY: gL TYPE: CHECK ~ 0 <br /> <br />* THIS IS A VALID I:~.Rt4ZT * THiS PER~iT I~XP~RIBS 180 DAY~ PRO~I 1TS ~.S..~E DAT~. JF <br />OOf~STRUCTION CEASe';[ FOR A PER[OD OF 180 DAYS, OR IF CONSTRUCTION PAiL~ TO I~EET ALL <br />REQUIREMENTS OF STATE ~ AND PiARiON COUNTY BUILDING AND ZONING ORDINANCIBS, THIS PEi~41T <br />5HALL 8ECC~IE NULL AND VOID. <br /> <br />REhlARKS~ r4H EVC / CON R~6442 <br /> <br />DONALD g. NOODLEY, ~ARiON COUNIY 8U[LD~NG OFFICIAL / BY ~ <br /> <br />~O~M ¢~ MC ~-~ ~Ev ~i~o OFFICE COPY <br /> <br /> <br />