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MARION COUNTY BUILDING INSPECTION <br /> SBNATOI~ BLDG. NO. 225" ~ <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97381 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other. <br /> <br />DATE: 12/29/92 TIME." <br /> <br />AURORA STALE AIRPORT <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT: <br /> <br />CATEGORY; <br /> C(]MMERCIAL <br />O~CUPANCY; <br /> <br /> 14357 KEIL RO NE <br />AURORA OR 9700,2_ <br /> <br />USE Of SUILDING: <br /> <br />CONTRACT CITY: UGB: OCCUPANT LOAD: <br />i HARION COUNTY' NO <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION <br /> <br />CHI I NVES'FMENT <br />.1,4337 E~L RE NE t. AI.,X.~Y RITOHEY <br />PHONE: 2,~-'-60()( <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />92-00757 <br /> <br />LOT. BLOCK SECTION TOWNSHIP RANGE <br /> " 43 <br />WIDTH~ I)E PTR AREA JNITS' IRREG. LOT <br /> <br />ZONE <br /> <br />co~NEF <br /> <br />MAP' <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 9044659 <br /> <br />CONTRACTOR, NO. 57994 <br />LICENSE NO: <br />BLESSING ELEC <br />929 N,. RUSSELL <br /> <br />PHONE: 234-,1~89 <br /> <br />SUPERVISING ELECTRIC IAR/NUMBE'.R <br /> <br /> I'IEM <br />SERVIOE:/FEEDER LESS THAN 200 AMPS <br />EtEC1RI{;~I._ JTATE SURCHAR(~E <br /> <br />QUANT;TY AMOUN'/ <br /> i $ $ 0.00 <br /> $2 _ 50 <br /> <br />PAYEE: SLEo¢IRG ELEC <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RE£,E~PT¢ <br />THIS RECEIPT <br /> <br /> $0, OD <br />$56.75 <br /> <br />BALANCE DUE $15.75 <br /> <br />REC, EIP'r NO: <br /> <br />.... · , ,:. 468 )9 <br />REE, GIVE{) BY: DH TYPE." OK, CHECK f~: 2(1)9 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />F'LAN REVIEW: BY .................... DATE <br /> <br />CITY ,,URI,'*DICFION: BY DATE ................. <br /> <br />FORM # MC 1 [~-56 REV, 4/~ OF FICE COPY <br /> <br /> <br />