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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 5'25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> PHONE: 588-5147 8:00- 4:80 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ROSE, FRANKLIN , ~, RESIDENTIAL <br /> ' ~ dccu~NC~ <br /> <br /> 1Z544 5~MES W~Y SE [ CONTRACT CITY; , UGD; ',OCCUPANT LOAO: <br /> ~HSV~LLE OR 97~25 ~H~RZON COUNTY~ N0 <br /> <br /> 52~0 R~VER R0~D N ~1000 ~ ............................................... <br /> KEIZER 97303 OFFICE 393-3624 X=350 , SITE NUMBER: 92-03[99 <br /> PHONE: 390-9553 [ VALUATION: <br /> <br /> B~'~ I ~dTION: TOWNSHIP: [ RANGE: ZONE: MAP= <br /> ~ ..... 29 8S ZW ~R 48 <br /> , NO ~ N0 <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 4240[ <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />ROSE, FRANKLIN <br />5210 RIVER ROAD N ~iO00 <br />KEIZER 97305 OFFICE 395=$624 X <br />PHONE: 390~955~ <br /> <br />SUPERVISIN6 ELECTRICiAN/NUMBER <br /> <br /> ITEH <br />MANUFACTURED HOME SERVICE/FEEOER ' <br />BRANCH CIRCUIT, WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> :. : ASSESSED:FEEs <br /> :PRE¥IOUS RE~EIP'T$ <br /> : <br /> <br /> , C E:,OUE,: <br /> <br />PAYEE: <br />RECEIVED BY: cr T:YPE:': <br /> <br />QUANTITY AMOUNT <br />1 $40.00 <br />2 $4.00 <br /> $2.20 <br /> <br />$4~.20 <br />$46.20 <br /> $0.00 <br /> <br />$0.00 <br /> <br />RECEIPT NO: <br />CHECK ~: 0 <br /> <br />:~ THIS iS A VnLID PERHTT:r~t:: ,TH:IS,pERHIT,,ExP:IRE$'ls0:O~Y$ FROB ITS ISSUE DATE. ZF <br />CONSTRUCTION CEASES FOR A PERIOD:OF ~80 D~YS~;OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREHENT8 OF STATE LRN~ AND,HRRZON COUNTY BUILDI:N~ AND :ZONING OROINRNCES~ THIS PERMIT <br />SHALL BECOME HULL RHO VOl0:2 ,; <br />: <br /> <br />REHARKS: <br /> <br />DONALD E. WOODLEY, MARION COUNTy BUILDINQ OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />