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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2:25 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />( <br />( <br /> <br />{ Other <br />( I have read and agree to the terms stated on the reverse side of DATE: <br /> this document, <br /> <br /> DATE: 0i/07/93 TIME: 11:25:29 <br /> ' TAX Lcf~ <br /> OWNER; FAGAN, RICHARO 5630:5-000 <br /> <br /> SITUS ADDRESS: 0oN~IRUCTION <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> <br />I am performing work on a )roperty I o · <br /> <br />o¢ a regigtered bullden <br />The work will be performed by a registered builder. <br /> <br />CATEGORY: <br />, RESIDENTIAL <br /> <br /> OOQUPA~CY: <br /> <br /> 7591 BISHOP RO SE <br /> AUHSVILLE OR 97325 <br /> <br />OSE Or <br /> <br />MA~LING ADDRESS: <br /> <br />'NO 0¢ 8E¢~OOmS: <br /> <br />SUBDIVISION; <br /> <br />SAME <br />769--2885 <br />PHONE~ 749-2842 <br /> <br />SITE NUMBER: 9~-00080 <br />VALUATION: <br /> <br />TOWNSH IF: RANGE; ZONE: MA p: <br />85 ~1W UTE 48 <br />24.18 AC NO NO <br /> <br />TYPE: ELECTRICAL PERHiT OR APPLICAT[ON NO: <br /> <br />44764 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />FAGAN, RICHARD <br />SAME <br />769-2885 <br />PHONE: 749-284[ <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />BRANCH CIRCUIT~ WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $50.00 <br />21 $42.00 <br /> $4.60 <br /> <br />TOTAL ASSESSED FEES <br />PREV[OUS RECEIPTS <br />THIS RECEIPT <br /> <br />$96.60 <br /> <br />BALANCE DUE SO.OD <br /> <br />PAYEE: FAGAN, RICHARD RECEIPT NO: 46925 <br />RECEIVED BY: PM ................................ TYPE~ CK CHECK ~: 1799 <br /> <br />* THiS IS A VALID PERNIT * THIS PERMIT EXPIRES 180 DRYS FROH 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 PERHIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARKB: SER~ 21 ClR <br /> <br />DONALD E. WOODLEY, HARION COUNTY 8UILOIN8 OFFICIAL / 8Y <br /> <br />EOB~,f,~ MC ~s-~e ~ev. 4~o OFFICE COPY <br /> <br /> <br />