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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 /> l~¢~T~'-: 03/~0/'Y4 T1ttE; 15:45~57 <br />OWNER <br /> I';~:~H t)E VEiLO?I'~i': N1 <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />OGNBTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 12094 EH[E"N RD <br /> flURORA <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> NE <br />OR 9?002 <br /> <br />OCCUPANT LOAG <br /> <br /> NO OF BEDROOM5 <br /> <br />SITE NUMBER: 74-008~8 <br />VALUATI:ON: <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE ZONE <br /> <br /> 9 4S 1W ID <br /> 4.52 AC NO N0 <br /> <br /> TYPE: ELECTRICAL PERI, IT OR APPLICATION NO; 5~875 <br /> <br />CSNTRACTOR.¢ NO. 08277 <br />LICENSE <br /> <br />PO Box 4242R <br />For~land~ <br />F HOllE: 254-752~ <br /> <br /> ITEM <br />BRANCH CIRCUIT, WITHOUT SERVZC~ OR FEEDER - 1ST CIRCUIt <br />BRANCH C[RCU'[F. W:[fHOUT SE~V~Cm OR FEEDER EACH ADDITIONAL <br />ELECTRICAt_ STALE SUROHARGF <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE <br /> <br />SUPERVISING ELECTRICI AN/NUML4ER <br /> <br />MAp <br /> <br /> 4 <br /> <br />[~UAN ) I l'Y AMOUNT <br />] $35. <br />I '1C_~ ,, 80 <br /> $ ]. ('1 ,~'; <br /> <br />$38. <br /> <br /> PAYEE: McCoy E],,eE:tric <br /> RE:CEIVFD BY: D~2 TYPE: CK CHECK ~: 66?3 <br /> <br /> ~ THIS IS A VALID PERHIT $ THIS PERHIT EXPIRES 180 DAYS FRON ITS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 BAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br />REBUIREHENTS OF STATE LAWS AN~ HARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERff~T <br />SHALL BECOHE HULL AND VOID. <br /> <br />REPhqRKS~ 2 C]:'R <br />l)OH,m,l) E-. UO0;O F <br /> <br />MARTOi,I COLIN'FY BU:[LD[NE- OFFTCIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />