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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: E88-7904 <br /> <br />I ~m a registered buitder OR the 8uthorized represeptetive <br />of a registered builder, <br />The work will be performed by a registered buildor, <br />Ot~er. <br /> <br /> DATE: 09/10/92 TIME: 8:05:09 <br />OWNER; <br /> PARKER, SHERRT <br /> <br />SITUS ADDRESS; <br /> <br />RESIOENTIAL <br /> <br />: OCCUPANCY: <br /> <br /> 5775 SHAW HWY BE <br />AUMSVILLE OR 97325 <br /> <br />MAILING AIDDRE~s: <br /> <br />SUBD]VISION: <br /> <br />SANE <br /> <br />PHONE: $64-0626 <br /> <br />VALUATION: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />MAP: <br /> <br />46 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NOi <br />LICENSE NO: <br />PARKER, SHERRI <br />SANE <br /> <br />PHONE; 364-0626 <br />ITEM <br /> <br />PERMIT OR APPLICATION NO: 42057 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY <br /> I <br /> <br />BRANCH CIRCUIT> WITHOUT SERVICE OR FEEDER - 1ST CIRCUIT <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - EACH ADDITIONAL <br />ELECTRICAL STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> 8AEANOE OUR <br /> <br />AMOUNT <br /> $35.00 <br /> $2.00 <br /> $1.B5 <br /> <br />$58485 <br />$~8.85 <br /> $o,oo <br /> <br />$o.oo <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED 8Y~ cr TYPE: CHECK ~: 0 <br /> <br />~ THIS 15 A VALID PERMIT = THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REOUIREMENT~ OF STATE LAMS AND MARION COUNTY BUILDING i~ND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME HULL AND VOID. <br /> <br /> REMARKS: 2/CIA ~_ <br /> DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY ...................... <br /> <br /> OFFICECOPY <br />FORM # MC 15-~6 REV, ~o <br /> <br /> <br />