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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 /> OATE <br /> <br />DATE,' ,LO/IS/92 TIME: I8:00:22 <br /> <br />BRE[ ~MBUgN COHlfiUNIlY 66844-'000 <br /> <br />CONS1 f4UCTION TYPE <br /> <br />CATEGORY <br /> <br />DETROIT <br /> <br />BREITENBUSH UPPER RESO SE <br /> OR <br /> <br />OCCUPANT LOAD <br /> <br /> NO or BEDHOOM$ <br /> <br />PO BOX 578 <br />OETF, OIT 97542 <br />PHONE: 854 · :53,1,4 <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />92-00862 <br /> <br />I OT BLOCK SECTION TOWNBH IP <br /> 20 SS <br /> <br />WIOTH DEPTH A~EA UNITS <br /> 86. AC <br /> <br />RANGE <br /> <br /> 7E <br /> NO <br /> <br />ZONE <br /> <br /> P <br />CORNEF~ <br /> HO <br /> <br />MAP <br /> <br /> 102 <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: <br /> <br />4~;507 <br /> <br />CONTRACIOR, NO. ,50224 <br />LICENSE NO: <br />DONALD B TABER ELECTRIC <br />82,0 N RIVER ST <br />POR'I'LANO, 97227-0000 <br />PHONE: 282-5279 <br /> <br />SJPERVIaING ELECTRICIAN/NJHBER <br /> <br /> iTEM <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - 1ST CIRCUIT <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY ANOUNI <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $0,00 <br />$36.:?5 <br /> <br />BALANCE DUE $0 )0 <br /> <br />PAYEE: RECEIPT NC): /~5;593 <br />RECEIVED BY: cl TYPE: CHECK ~; )0 9 <br /> <br />* THIS IS A VALIO PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE OATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERHIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARKS: I C[R FOR BU~41756 <br /> <br />DONA, D E_ WOODLEY, MARION COUNTY BUILOING OFFIC <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 RE¥ 4/~0 <br /> <br /> <br />