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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 />am performing work on a property I own or occupy, <br />If am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICA <br /> <br />Other_ <br /> <br />OWNER'. gATE; 06,/,2E~/94 ...... TI-ME:-.-1-~,',',~:,~.1.1~-:-28 ............... TAX LOT <br /> <br /> HOWELL,/HOOYflRN VIVI~N fl 71~58e2e <br />SITUS AODRESS; CONSTRUCTION TY~E~ <br /> <br /> 11405 JAHES WAY SE CONTRACT CiTY; UGB <br />AUflSVILI,.E OR ~7J25 MARION COUNTY NO <br /> <br /> RESIDENTIAL <br />OCCUPANCY'. <br /> <br />rd'~g '6~ gb~L-bi~'8'; ................................................................................................................................... <br />MAlt. lNG ADDRESS: SUBDIVISION <br /> <br /> SAME <br /> PHONE: 749-1287 <br />~:' ............... l~ ............... §~¥i~ ............... ~NSHIP <br /> <br />INOi 0~' BEDROOMS: <br /> <br />........... DZlT£~._ttII.L__ZEACI¢_2 ....................... <br /> <br /> SITE HUHBER: 74-82IS3 <br /> VALUATION: <br /> <br /> ..... 4~N~'E; ................ ~-~; .................... I'M~'~: .... <br /> <br />TYPE: ELECTRICRL <br /> <br />CONTRACTOR, NO. <br />~ICENSE <br /> OWELL/HOOYMAN VIVZAN N <br />SAMe <br /> <br />PHONE: 74~-1287 <br /> <br /> ITEM <br />MANUFACTURE~ HOME <br />ELECTRICAL <br /> <br />PERMIT OR APPLICflTIOH HO: 55952 <br /> <br /> SUPERVISIN6 ELECTRZC]:AN/NUMBER <br /> <br />QUANTITY AMOUNT <br /> I $40.00 <br /> $2.88 <br /> <br />FEE8 <br /> <br /> PAYEE: HOWELL/HOOYMAN;, <br /> RECEIVEO BY: 6L <br /> · THIS IS A VALID PERHIT <br />COHSTRUCTIOH CEASES F~R A <br />REQUIREHENTS OF STATE LAWS <br />SHALL BECOHE HULL AND ~ <br /> <br />$42,88 <br /> $8.00 <br />$42.~0 <br /> <br />DUE $0.00 <br /> <br /> RECEIPT NO: 58442 <br /> 'PR: CE CHECK ~: 882 <br /> <br />ORDIHAHCES~ <br /> <br />THIS PERMIT <br /> <br />REMARKS: MS SVC <br /> <br />DONALD E. WOODLEY~ MARION ,coUNTY BUILDING <br /> <br />OFFICE COPY <br /> <br /> <br />