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MARION COUNTY BUILDING iNSPECTiON <br />SENATORBLDG 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 />of a registered builder <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> CATS <br /> <br />owr'D~'IE; 04,/29/91 liRE: i5:04:45 <br /> <br /> TAX L. OT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY UGB <br />NE <br /> <br /> t,~ARi ON ' C'O¢~ :¥'Y NO <br /> <br />12602 FRY ROAD <br />AURORA OR 97802 <br />UBE OF BUILDING <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br />CATEGORY <br /> <br />OCCUPANCY ~S~ D~N ~ ~AL <br /> <br /> PHONE.+ 678-2640 SI~F; NUI'4BER: 12726 <br />LOT BLOCK SECTION TOWNSHIP RAN~LUA ['ION `+ ZON~ MAP <br /> <br />WIDTH DEPTH AREA 22 UNITS ~ TRR~G LOT 1W : CORNER ~U 5 <br /> <br />NO ", ......... NO <br /> <br />tYPE: ELECfRiCAL PER,liT OR APPLICATiC~4 NO: <br /> <br />31554. <br /> <br />CONIRAC]OR, NO. <br />LZCENSE NO: <br />PAllON, DAVID <br /> <br />SUPERViSiNG ELGCiRICIAN/NUMBER <br /> <br />PHONE: 678-264,0 <br /> <br />SERVZCE/FEEDER 100 ANF'S OR L~ <br />ELECIR~CAL SfAIE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOOS RECEiP'fS <br />~Hi8 RECEZPI' <br /> <br />36. '75 <br />$o.oo <br /> <br />BALANCE L,~J[ $0.00 <br /> <br />PAYEE= RECEiP'f NO: <br />RECEIVED 8Yt PE] ;YPE: CHECK ~: 0 <br /> <br />*THIS Z$ A VALID PEI~IT ~ THIS PER~[T EXPIRES 180 DAY~ FRO~I iTS [.EE~E DATE. IF <br />C~NSTRUCT[ON CEASE~ FOR A PER[OD OF 180 DAY~o OR IF CONSTRUCT[ON FAIL.~ TO ~EET ALL <br />IR2~[R~T~ OP ~TATE ~ AND r.~ARION CO. JNTY BUILDING AND ZONING ORDINANCES, THIS PERI, lIT <br />EiHALL BEI:::(~E NULL ANDVOIO. <br /> <br />REMARK,,.%: ]00AMP <br />DONALD E. ~rooDLEY. MARION OOUNf'Y BUILDING OFFICIAL / 8Y ................. ~ ................ <br /> <br />FORM # MC I~.SG REV 4/90 OFFICE COPY <br /> <br /> <br />