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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> 220 HiGH STR6ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4::30 <br /> 24 HOUR CODE-A-PHONE: 555-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I Am a registered builder OR ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other~ <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> DA'YE: 04/11/94 <br />OWNER: <br /> <br /> iCJ HACI'tlNE <br /> <br />~30NSTRUCTION TYPE <br /> <br /> CATEGORY: <br /> <br />OccgPANCY: <br /> <br /> 12138 EHLEN RD <br /> AURORA <br />USE OF BUILDING; <br /> <br />MAILING ADDRESS: <br /> <br /> NE' <br />OR 97002 <br /> <br />OON?RAOT OITY: UGB: <br />HARION COUNTY N0 <br /> <br />SUBDIVIStGN <br /> <br />LOT; <br /> <br />PHONE: 678-3062 <br /> <br /> BLOCK'· <br /> <br />SECTION: TOWNSHIP'. <br /> <br />SITE NUMBER: <br />VALUATION; <br /> <br />MAP; <br /> <br />NO <br /> <br />TYPE: ELECTRICAL <br /> <br />PERI'lIT OR APPLICATION NO: 54188 <br /> <br /> SUPERVISIN6 E,,,ECTklCIAN/NUMBEk <br /> <br />(0 ~ S, OLLI <br /> <br /> ];TEN <br />Si'_-,RVICE/FEEI)ER LESS THAN 288 AMPS <br />~RAHCH I,,IRCU,f,f,~ W.[fH ol.'_RVICE OF( FEEi:)ER <br />ELECTRICAL ,, 1'ATE oUk~IIARGE <br /> <br />QUANTITY AM00NT <br />1 $50.00 <br />2 $4,00 <br /> $2.70 <br /> <br />TOTAL ASSESSED FEES <br />F'REVIOIJS RECEIPTS <br /> THIS RECEIPT <br /> ia.A ice <br /> <br />$56.70 <br /> ¢0.00 <br />$56.70 <br /> <br /> $0.00 <br /> <br /> PAYEE; COCKRAH*BROAOWAY ELEC (0~SULLIVAN) RECEIF'T MO: 56576 <br /> RECEIVED BY: I)M2................... L .............. :. ........................ TYPE: CK CHECK ,~: 31,99 <br /> <br /> * THIS IS A VALID PERHII * THIS PERHIT EXPIRES 188 DAYS:FRON iTS iSSUE DATE, IF <br />CONSTRUCTION CEASES FOE A PERIO~ OF 188 DAYS, OR If CONSTRUCTION FALLS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND HARION COUNTY DUILDiN~ AN~ ZONIfl~ ORDIHANCES, THiS PERMIT <br />SHALL ~ECSNE NULL AN~ VOID. I <br /> <br />W'OD :;"(,~ aARION ,IJuH[¥ BU.!iI.i. 91NI; 'F'FECiAL / BY <br /> <br />gOMALD E:, <br /> <br />OFFICE COPY <br /> <br /> <br />