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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-B147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I have read and aSree to tho torres stated on the reverse side of <br /> this document, <br /> <br /> DATE: 09/04/92 TINE: 16:36:21 <br />OWNER: <br /> LIFFLANDER, JOHN & CAROL <br /> <br />SITUS ADORESS: <br /> <br />SIGNATURE OF APPLICANT; <br /> DATE: <br /> <br /> TAX LOT[ <br /> 57665-000 <br /> <br /> CONSTRUCTION TYPB: <br /> <br />CATEGORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY; <br /> <br /> 8851 SMITH RD <br />AUMSVILLE <br /> <br /> SE <br />OR 97325 <br /> <br />USE O~ BUILDING; <br /> <br />MAILING ADDRESS'. <br /> <br />SUBDIVISION: <br /> <br />OCCUPANT LOAO: <br /> <br /> NO O~ 8EDB00MS: <br /> <br />5290 BALSAM DR S <br />8ALEH OR 97302 <br />PHONE2 363~6418 <br /> <br />WK 378-5758 <br /> <br />SITE NUHBE~: 92-01640 <br />VALUATION: <br /> <br />LOT: BLOCK: SECTION: fB)WNSHIP: <br /> 24 88 <br />WIDTH: 05PTN; AREA: 31.4 u~rr: <br /> <br />RANGE: ZONE: <br />2W SA <br /> IRREg. LOT; CORNER~ <br /> NO NO <br /> <br />MAP: <br /> <br />51 <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: <br /> <br />42120 <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />LIFFLANDER, JOHN & CAROL <br />3290 BALSAM DR S <br />SALEM OR 97302 WK 378-5758 <br />PHONE: 363-6418 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />8RANCH CIRCUIT, WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />GUANTITY AMOUNT <br />1 $40.00 <br />I $2.00 <br /> $2.10 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$44.10 <br />$44.10 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO~ <br />RECEIVED BY: DM2 ............................. TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERHIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REGUIREHENTS OF STATE LAWS ARB MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME HULL AND VOID. <br /> <br />REMARKS: HF6 SVC & WELL CIR <br /> <br />DONALD E. WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/9O <br /> <br /> <br />