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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 /> DAIE; 04,/16/92 fi, ME: 9:29:45 <br /> <br />OWNER HILLS, GERALD <br /> <br />SITUS ADDRESS <br /> <br /> l?0 N BUr fE <br /> DEIROI1 <br /> <br />OR 9'[34.2 <br /> <br />P'.O. BOX 52zi <br />DEIROI f , OR <br />PHONE: 854-35r57 <br /> <br />DATE <br /> <br />CONSTRUCTION TYPE <br /> <br />OE~ ROI 1 NO <br /> <br /> HA~D <br /> <br />Sill NUMBER: 92-01183 <br /> VALUAIiON: <br /> <br />CATEGORY <br />OCCUPANCY <br />:OCCUPANT LOAD <br /> <br />LOT BLOCK S~CTION TOWNSNIP <br /> 6 15 1 <br /> <br />WIDTH 50DEPTH "[ 00 AREA 5000. UNITS <br /> <br /> : RANGE ZONB <br />10 5E <br /> <br />SF- tRREG LOT ~'~O SO~NERNO <br /> <br />RES )l DEN 1 IA/ <br /> <br />MAP <br /> <br />'fYPE: ELECFRiCAL PERI'"4I'T' OR APPLiCA'IiON NO: <br /> <br />38890 <br /> <br />CON 1RACl OR, NO. <br />L ICB'4$E NO: <br />HILL.S, GERALD <br />F'.O. BOX 524 <br />DEIRf3II, OR 9'/342 <br />PHONE: 854-3587 <br /> <br />SUPERViSiNG ELbC I'RICIAN/NUMBER <br /> <br />BRANCH CIRG~iI, NiFHOU'I' ~ERVICE OR FEEDER - 1SF CIRG~I'f' <br />ELECIRICAL SlAtE SURCHARGE <br /> <br />0UANII1Y AMOUNI <br /> $35.00 <br /> <br />PAYEE: <br />RECEIVE0 BY: PB <br /> <br />IOIAL ~E~ED FEES <br />PREVIOUS RECEiPT~ <br />fHiS RECEiPI <br /> <br />36.% <br />$o.o0 <br /> <br />BALANCE DUE $9- <br /> <br />RECalPF NO: <br />CHECK ~: 0 <br /> <br />* THIS iS A VALID PER~IT ~ THiS PEi~IlT EXPIR~ 180 DAY'~ FROM ITS iSSUE DATE. iF <br />CONSTRUCTiON CEASES FOR A PERIOD OF 1BO DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />RF_QUiREMENTS OF STATE ~ AND MARION COUNTY BUZLDIN6 AND ZON/NG ORDINANCES, THIS PER~ZT <br />.~'IALL BF_...f,;:O~E NULL AND <br /> <br />REMARKS: ] <br /> <br />DONALD E. WOODLEY, MARION COUNIY BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15,,56 R~V 4/90 <br /> <br /> <br />