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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 />I am performing work on a property I own or occupy. <br />I ~rn a registered builder OR ) the authorized representative <br />of a registered builder, <br />The work wilJ be performed by a registered builder, <br />Other <br /> <br /> this document. <br /> !)ATE: Q8/1~/92 TIME: <br /> CARRY, DON & HELEN <br />: S]l'O~ ~DDFfES~; <br /> <br />'~AX LOf; CATEGORY: <br />7.600 RESIDENTIAL <br />CONSTRUCTION TYPE: OCCUPANCY: <br /> <br /> 11044 JAMES NAY OR SE <br /> AUNSVILLE OR '77325 <br /> <br />U~ O~ BUILD~NGr <br /> <br />MAILING ADDRESS: <br /> <br /> PHONE; <br /> <br />HARION COUNTY NO <br /> <br />SUBDIVISION; <br /> <br /> ACMELLIA HEIGHTS <br /> <br /> SiTE NUMBER: 92-02727 <br /> VALUATION: <br /> <br />, NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 41492 <br /> <br />CONTRACTOR~ NO. 35052 <br />LICENSE NO: <br /> BUEHLER CARPENTRY CO <br />39830 ECHO HILL RO <br />SOLO, 97374 <br />PHONE: 859-2538 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM QUANTITY <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - iST CIRCUIT <br />BRANCH CIRCUIT. WITHOUT SERVICE OR FEEOER EACH ADDITIONAL <br />ELECTRICAL STATE 9URCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE OUE <br /> <br />AMOUNT <br /> $35.00 <br /> $2.00 <br /> $1.85 <br /> <br /> $38.85 <br /> $58,83 <br /> $0.00 <br /> <br /> $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVEO BY: PB ................................. TYPE: CHECK ~: 0 <br /> <br />· THIS IS 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 MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONIN8 ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: 2 8R CIR W/O SEA <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />