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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br /> B20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: S8B-5147 B:O0 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lam arog~stered builder OR( )theauthorizedfep~osentative SIGNATU E O <br />of a reg,stered ~ui~der. <br />The workwil be performed by a registered builder. <br />Other__ DATE: <br />I have read and agree to tho terms stated on tho reverse side of <br /> <br /> OAFS: 08/24/92 TIME: 14:48:27 <br /> <br /> LIFFLANDER, .'¥OHN & CAROL 57665~()00 <br /> <br /> 885]_ SMI. I'~- RD SE CONTRACT CiTY <br />AUMSVILLE ']R 97325 MARION COUNTY <br /> <br />RESIDENTIAL <br /> <br />3290 BALSAM DR S <br />SALEM OR 97502 <br />PHONE: 363.,6418 <br /> <br />NK 57S-3758 <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />92-01540 <br /> <br />31.4 AC <br /> <br />RANGE ZONE MAP: <br /> <br /> 2W S~ 55 <br /> RREG LO1 CORNER <br /> NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />LIFFLANDER, JOHN & CAROL <br />5290 BALSAM OR S <br />SALEM OR 97502 WK 378¢3758 <br />PHONE: 565-6418 <br /> <br />PERMIT OR APPLICATION NO: 9042120 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />BRANCH CIRCUIT, WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: LIFFLANDER, JOHN & CAROL <br /> <br />TOTAL. ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $40.00 <br />1 $2_00 <br /> $2..L0 <br /> <br />$44.I. 0 <br /> $0.09 <br />$44. lo <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 44166 <br /> <br />RECEIVED BY: CL ....................................... TYPE: OK CMECK ~: 1521 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST 60 THROUCH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORHATION HAS BEEN PROVIOEO. <br /> <br />PLAN REVIEW: BY ............... DATE ................... CITY JURISDICTION: BY .................... DATE ....................... <br /> <br />REMARKS: MFG SVC & WELL CIR <br /> <br />OFFICECOPY <br /> <br /> <br />