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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR he au hor zed rep esen ave SIGNATURE OF APPLICANT: <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other ...... <br /> <br />TAX LOT CATEGORY. <br /> R~S.[DENT t AL. <br />CONSTRUCTfON TYPE OCCUPANCY' <br /> <br /> SITE NUMDER: 94-e1:3;55 <br /> PHONE:: 749---2274 VALUATION: <br /> <br /> (,CT; BLOCK: I SECTION; TOWNSH ~F RANG~ : ~ON~; MAP; <br /> <br /> ...... , .... ) ....... 8 ......... L~., ..... AR ....... 46 <br />~WfDTH; ~DE~H: AREA UNIT~: RREG. LOT'. , CORNER: ' <br /> <br /> TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 5466~ <br /> <br />.~ FERV,.SING EL, ECTi';:ICZAIq/NUM:6{fii:R <br /> <br />~J~U AN T ];-I"Y AHOUNT <br /> 4 $3,, <br /> <br />FO'?AL ASSESSED FEES <br />PREY lOLlS <br /> <br />BALANCE' DUE' <br /> <br /> ~AYEI,. R & R E.L,~?c'l:ric [~.: RECE]:f-"T ,NO: 572,24 <br /> h:;.CE?,Vli']) BY: i-,['; TYPE: CI< CHECK ~:: 12~7~ <br /> * THIS tS A VALID PERHIT * THiS PERMIT EXPIRES 188 DAYS FROM ITS ISSUE ])ATE. IF <br />CO~fSTRUCT[O~ CEASES FOR A PER'loP:OF 188 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWD AND MARION 'COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME <br /> <br />~ORM # MC 15.56 R~v'. 4/90 OFFICE COPY <br /> <br /> <br />