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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 />I am performin9 work on a property I own or occupy. <br />I am a registered builder OR ) the authorized representative <br />of a registered builder. <br />¥lle work will be OeOformed by a registered builder, <br />Other <br /> <br />DATE: <br /> <br />ow~' 'E .' 05/1~./9't TIME: <br /> <br /> HOOL,~EY, DONALD <br />S~TuS ^D~RESS <br /> <br />TAX LOT: <br /> <br />CONS+R O6"'iON TYPE: <br /> <br />CONTR^ef <br /> <br /> AUf4~V [. LLE OR <br />USE OF BU}LD <br /> <br />97:B25 <br /> <br />~E <br /> <br />'I~RION F.~:~JNTY ' NO <br /> <br />,~At, IE <br /> <br />PHONE +* ?49-2444 <br /> <br /> 9LOCK: <br /> <br />TOWNSHIP; <br /> <br />~II'E NUMBER: <br />VALUAT i ON: <br />RANGE; ZONE: <br /> <br />WIDTH' DEPTH. AREA <br /> <br />18 <br /> UNITS <br /> <br />IRREa. LOT: tN CORNER: <br /> <br /> NO NO <br /> <br /> R~i DEN'f IAL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD~ <br /> <br /> NO OF BEOROOM~ <br /> <br />654 <br /> <br /> MAP: <br /> <br />EFU ~O <br /> <br />TYPE: ELECTRICAL PERf41'I' OR APPLICATION NO: <br /> <br />31840 <br /> <br />CON'FRACTOR, NO. <br />Lf CEN~E NO: <br />~,E)OL.SE'Y, DONALD <br /> <br />SUPERViSiNG ,C:LEC'r R i C i AN/NUFi~ £R <br /> <br />PHONE: 749-24-44 <br /> <br /> 1'1'¢M <br />NANUFAC'fUREO HONE SERViCE/FEEDER <br />ELECTRICAL STATE .~LIRCHARGE <br /> <br />(~JANI'II'Y A~OUNI' <br /> 1 $35.00 <br /> $1.75 <br /> <br />TOTALA,!.~B~ED <br />PREVIOUS RECEIPT5 <br />THiS RECEIPT <br /> <br />36.75 <br />$0.00 <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIP'r NO: <br /> RECE1VED BY: CL TyPE~ CHECK ~ 0 <br /> <br /> * THIS 18 A VALID PEI~IT $ THIS PER,lIT ~XPiRI~5180DAYS P-RO~ ITS I~E ~TE. IF <br />~ST~CTI~ C~ ~ A ~I~ OP 180 ~, OR IF ~T~TI~ FAI~ TO N~ ALL <br />~IR~TS OF STATE ~D ~RI~ ~TY BUi~I~ ~D Z~ING ORDiN~C~, THI~ ~iT <br /> LL 8E~E ~LL ~O <br /> <br />REI~IARKS: ~ CON R~7521 <br />DONALO ~. NOrODLEY, IViARION COUNTY BU~LD~N¢ OFFICIAL / BY .............................. ~ ..................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />