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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 />SIGNATURE OF APPLICANTI <br /> DATE; <br /> <br />owr,~;I-E: 06/22/90 '¥!.[ME: 8.'59:9:~ T~X LOT: <br /> <br /> HEWiTT, DEL <br />SITUS ADDRESS: CONSTRUCTION TYPE; <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RESiDEN'I'IAE <br /> <br />13793 EHLEN RD NE OONTRACT CITY; UGB: <br />AURORA OR 9?002 <br />u,~E OF BU~L¢~G: ............... COUNTY'' NO <br /> <br />OCCUPAN I' LOAD: <br /> <br />MAILING ADDRESS; ~ ' ~tJ~Dl~;SiON: <br /> <br />r.,,,'o BOX 8?5 <br />WtL,f~ONVILLE OR <br />PHONE: 594-5109 <br /> <br />LOT: BLOCK; <br /> <br />9?0?0 <br /> <br /> SITE NUI~3ER: <br /> ...... YALU4!ZON: <br />i §E~TION: ;TOWNSHIP: RANGE; i ZONE: <br /> <br />3553 <br /> <br />MAP: <br /> <br />WIDTH: <br /> <br />DEPTH: <br /> <br />' AREA: I UNITS: IRREg. LOT: <br /> <br /> CORNER: <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 50829 <br />LICENSE NO: <br />JR ELECTRIC <br />PO 8OX 266 <br />HUBBAR0, OREGON 97032 <br />PHONE: 981-3913 <br /> <br />pEI;;~i'f OR APPLICATiO~ NOs 25087 <br /> <br /> .SAJPERVI~NG ELECTRiCIAN/NUMBER <br /> JOSEPH V. ORYBEN : 91385 <br /> <br /> ['fEM <br /> [RRIGA'rlON PUMP <br />C/I SERV 201-400 AMPS <br />FLEET SURr,.,7'"IARGE -ZONE 5 <br />ELECTRICAL STATE SURCTHARGE <br /> <br />QUANTITY AtflOUN'l' <br />q $30.00 <br />1 $100.00 <br /> $?_ 68 <br /> $8.5o <br /> <br /> TOTALAE, S~ED~EES $144.18 <br /> PREViOJ$ RECEiPTs $0.00 <br /> THi~ RECEIPT $1~4~18 <br /> <br /> BALANCE [.~JE $0.00 <br /> <br /> PAYEE: JR ELECTRIC RECEIPT NO: 26559 <br /> R~EiVEO BY: PEt ..................................................................................................... 'TYPE~ CK CHECK ~: 3485 <br /> <br />* THIS 15 A VALID PEF4~iT ~ THIS PER~iT EXPIRl!~ 180DAY~ F~ iTS J~E ~TE. <br />~ST~CTI~ C~ ~A ~lOO OF ~80 ~, OR IE~ST~CTI~ PAi~ TO ~ ALL <br />~I~TS OF STATE ~ ~D ~Ri~ ~NTY ~iLOI~ ~O~IN60RDIN~C~. THI~ <br />~LL <br /> <br />REr, IARK.~: 400 AMP & IRR PtJNP R'~2144 <br />DONALO E. h~ODLE¥, tflAR[CAI COJNTY BU[LD[NG OFFiCiAL / BY ............................. ~ .................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />