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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Of a registered builder. <br />The work will be pedormed by a registered builder. <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> DATE.- 9,~/17/92; TINE= 9,, 48.4 <br />OWNER; ......... : CAT~ON¥: <br /> ZIEGLER.~ RICK & JULIE ~ 4786~-52~ RESIDENTIAL <br /> <br /> 9ETRO~'r OR ~7742 9ETROtT ~ NO <br /> <br />' MAILING REDRESS; <br /> <br />15821 SE NAFF <br />HILWAOKIE 97267 <br />PHONE: 659-5295 <br /> <br />sb~ol~iC~; ........ <br /> <br /> SITE NUNDER: 93-~0394 <br /> YALUATION: <br /> <br />' NO OF 8EOROOMS <br /> <br />,LOT: <br /> <br />WIDTHI <br /> <br /> ' BLOCKI ...... SECTION; ['~-$'Ni~i ..... i RA~GEi i ~oNE; MAPz <br /> <br /> 1 ! , 5E , R~ 195 <br /> DEPTH: :AR~A; ~UNITS: i IRREG. LOT: .CORNER~ <br />95 ~ ~5~ 9025. i SF ] NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CO~'FRACTOR~ NO. <br />L~CENSE Iq0: <br />ZIEGLER. RECK & JULIE <br />15821 SE NAFF <br />HILWAUKIE 97267 <br />PHONE;: 6,~9-,~.~5 <br /> <br />PERNiT OR APPLICATION NO: 46936 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />r. RANCH CIRCUIT., WITH SERVICE OR FEEl)ER <br />ELECTRICAL STATE ~SURCHARGE <br /> <br />TOTAL ASSESSEn FEE8 <br /> PREVIOUS RECEIPTS <br /> TH~$ RECEIPT <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> 2 $4.~9 <br /> $9,,~.0 <br /> <br />$4. <br />$9.99 <br />$4.29 <br /> <br /> PAYEE: ZIEGLER, RICK &JUL. iE ' RECEIPT NO: 49571 <br /> <br /> ~ THiS IS A VALID pERMIT* THIS PERHiT~,,EXP~RE~ 180 DAYS FRBN ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A,PERtOD OF 186:DAYSiOR :IECONSTRUCTION FAILS TO MEET ALL <br />REOU[RENENTS OF STATE ZONING ORD[NANCE$~ THIS PERNIT <br />SHALL 9ECOHE NULL AND VO[~: <br /> <br />REMARKS: 2 6:[R <br /> <br />~- DONALD E,, WSOI)LEY~ MARIO~ COUNTY BUILBINC:OPFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM ~ MS 15-56 REV. 4/90 <br /> <br /> <br />