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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> Other <br /> <br /> CATE: 07/24/92 TIME: 12:44:50 <br />'°WNE~:cAREY, DON & HELEN <br />SITUS AO[~RE$8: <br /> <br />PHONE:588-5147 8:00- 4:30 <br /> SIGNATURE OF APPLICANT; <br /> <br /> 11044 JAMES WAY DRIVE SE <br />AUMSVILLE OR 97~25 <br /> <br />TAX LOT; CATEGORY <br />2600 RESIDENTIAL <br /> <br />CONSTRUCT 3N TYPE <br /> <br />OCCUPANCY <br /> <br />fi~Orl~ q~:UNTY u~: OCCUPANT LOAO: <br /> <br />USE 0¢ BUILDING; <br /> <br />MAILING ADDRESS. SUBDIVISION <br /> ACMELLIA HEIGHTS <br /> <br /> SITE NUMBER: 92-02727 <br /> PHONE: VALUATION: <br /> <br />gOT; ' BLOCK: SECTtON TOWNSHIP RANGE <br />9 29 8S 1W <br />WIDTN: ,OEPTH; · AREA; JNITS: I~G LOT. <br /> <br /> TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br /> CONTRACTOR, NO. ~5052/q <br /> LICEHSE NO: <br /> BUEHLER CARPENTRY CO ' <br /> 39830 ECHO HILL RD <br /> $CIO. 97~74 <br /> PHONE; 859-25~3 <br /> <br /> ~TEM <br /> BRANCH CIRCUIT, NITHOUT SERVICE OR FEEOER ~ ~ST CIRCUIT <br /> BRANCH CIRCUIT, NITHOUT SERVICE OR FEEOER EACH ADDITIONAL <br /> ELECTRICAL STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> DALANCE CUE <br /> <br />ZONE MAD. <br /> <br /> 9041492 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AMOUNT <br />1 $~5.00 <br />1 $2.00 <br /> $1.85 <br /> <br /> $0.00 <br />$$8.85 <br /> <br />$0.oo <br /> <br /> PAYEE: 8UEHLER CARPENTRY CO RECEIPT NO: 45545 <br /> RECEIVED BY: PW TYPE: CK CHECK ~: 5551 <br /> <br />* THIS IS NOT fl PERMIT. THIS APPLICATION NUBT 60 THROUGHA REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COHPLETED. IT I$ THE RESPONSiBiLITY OF THE APPLICANT TO ASSURE TN~T <br />ALL NECESSARY INFORMATION MAS BEEN PROVIDED. <br /> <br />PLAN REVIEW; BY <br /> <br />REMARKS: 2 BR ClR W/O SEA <br /> <br />DATE <br /> <br />CITY JURISDICTION: 8Y ........ DATE <br /> <br />OFFICE COPY <br /> <br /> <br />