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MARION COUNTY BUILDING INSPECTION <br />,..$EN~OR BLDG. NO. 225 <br />~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: B88-7904 <br /> <br />I am performing work on a property I own or occupy, <br />[amaregisterodbuilderOR( )thesu~ho¢izedrepresentative <br />of a registered builder, <br />The work will be 12erformed by a registered builder, <br />Other <br />f have read and agree to the terms stated on the reverse side of <br /> <br /> OA'IE: i2/1o/92 TIHE: 13:08 46 <br />OWNER; TAX LO¢~ i CATEGORY~ <br /> GROVES, V A RESIOEN'¢IAL <br /> <br /> 4S0 CLEVELAND '--' i ~b~'r'~X~T 61~Yi LIMB: O~CtJPANT LOAD: <br />AUMSVILLE OR 97325 AUHSVILLE ; NO <br /> <br />PBONE: <br /> <br />SITE NUMBER: 92-04229 <br />VALUATION: <br /> <br />LOT: <br /> <br /> BLOCK: <br /> <br />OEPTHr <br /> <br />~ i NO ' NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLIDATION NO: 44344 <br /> <br />CONTRACTOR, NO. 10875 <br />LICENSE NO: <br /> Sherry City Electric In¢ <br />PO BOX 12662 <br />Salem~ 97309,-0000 <br />PHONE: 399-7609 <br /> <br />SUPERVISING EL, ECTRICiAN/NOHBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />EL.,ECTRIO~L STATE BURCHARGE <br /> <br />QUANTITY AMOUNT <br /> ~ $50,00 <br /> $2,,S0 <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$52.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: Cherry City Electric lnc RECEIPT NO: 46494 <br />RECEIVED BY; CL ............................. ~ ......... ~ TYPE: CK CHECK ~; 30263 <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 ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: 200 AMP BVC CNG <br />DONALD E,, NOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y ......... ~_!~_. .............................................. <br /> <br /> OFFICE GOBY <br />FORM ~ MC 15-56 REV. 4/90 <br /> <br /> <br />