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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG.,.NO, 22B,... .~. <br /> '>20 HIGH STREE'r NE <br /> SALEM, OREGON 97381 <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 /> <br />of a reglstered builder, <br />The work will Pe performed by a registered builder, <br />Other__ <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />DATE= 01/12/~ TIME: <br /> <br />AURORA STATE AIRPORT <br /> <br />TAX LOT: <br /> <br />CON~ UbTlON YY~E'. <br /> <br />' CATEGORY: <br /> <br /> COMMERCIAL <br /> OCCUPANCY: <br /> <br /> 14557 KEIL R0 NE CONTRACT CITY: ' UGh: <br /> AURORA OR 97002 MARION COUNTY i NO <br /> <br />MAILING ADDRESS; , SUBDIVISION'. <br /> <br /> 6HI INVESTMENT <br /> ],4357 KEIL RD NE <br /> PHONE: 256-6000 <br /> <br />LOT: BLOCK; <br /> <br /> P6S ¢ <br /> LARRY RITCHEY SITE NUMBER: <br /> VALUATION: <br /> <br />SECTION: TOWN~HIP~ , RANGE; <br />2 45 iW <br /> NO <br /> <br />9;5-00137 <br /> <br />ZONE: MAP: <br />: cORPUS ~: 5 <br />NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />44659 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />BLESSING ELEC <br />829 N. RUSSELL <br />PORTLAND~ <br />PHONE: 284-i189 <br /> <br />579~4 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEOER LESS THAN 200 AMPS <br />ELEDTRIDAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $50~00 <br /> $2.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$52.50 <br />$56.75 <br />$i5.75 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: BLESSING ELEC RECEIPT NO: 46980 <br />RECEIVED BY: DM2 ................................. TYPE: CE CHECK ~: 20187 <br /> <br />* THIS IS A VALID PERMIT · THIS PERMIT EXPIRES 1SO DAYS FROM ITS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR ~ PERIOD OF [80 DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BU[LDIN6 AND ZONIN8 ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: iOOA SERVICE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />15.56 REV, 4J~O OFFICE COPY <br /> <br /> <br />