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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OR~..GON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br /> 24 HOUR CODE-A-PHONE 588-7904 <br /> <br /> lam pertormin9 workon a propertylowno occupy <br /> I am a registered budder OR I the authorized represen a ire <br /> of 8 registered builder <br /> The work will be porformed by a registered builder <br /> Other ...... <br /> I have read and agree to the terms statod on the reverse aide of <br /> this document <br /> <br /> L~A f E; 0t~/29/90 TiMEr <br />OWNER <br /> MACK. f HOMA5 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> 61575-00B <br /> <br /> CONSTPUCTION T'cp5 <br /> <br /> 10384 WEST S[AYTON RD <br />AUM~ViLLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />~RION Cv.~UN l Y NO <br /> <br />SAME <br /> <br /> PHONE: ?49-2548 <br /> <br />I CT BLOCK S~CTION TOWNSNIP <br />12 <br />WIDTH DEPTH AREA UNITS <br /> 10. <br /> <br /> SilE NU~ER: ?539 <br /> VALUATION: <br /> <br /> RANGE ZONS <br /> <br />95 2N ~FU <br /> <br />AC IRREG lOT NO CORNE~o <br /> <br />RgSi DEN I [ AL <br /> <br />YYPE: ELECIR~CAL PERi'IT OR APPLICA]iON NO: <br /> <br />25258 <br /> <br />CONTRACTOR. NO. 45933 <br />LICENSE NO: <br />PACIFIC O%.~f ELEC..iNC. <br />~>.O. BOX 651 <br />SIAYfON. OR 97383 <br />F~'~ONE: 769-7671 <br /> <br />5UPERfVISZNG ELECrRIcIcN'~/NUIVlBER <br />LEOINARO MYE~ <br /> <br /> iYEM <br />iRRIGATION k'UMP <br />FLEET SURCHARGE -ZONE 2 <br />EL~Cf'RICAL STALE SURCHARGE <br /> <br />QUANT I TY ANOUN f <br /> $30.00 <br /> <br />f'OTAL A.~ES.~ED FEES <br />THIS RgCEiP] <br /> <br />$34.05 <br /> $0,00 <br />$34.0~ <br /> <br />BALANC~ g,~UE <br /> <br /> PAYEE: PACiPIC COAST ELEC.,iNC. RECEiPi NO: 26745 <br /> RECeiVED BY: PB TYPE: CK CHECK ~¢ 4393 <br /> <br />~ THiS IS A VALID PEI~IiT * THIS PERi,lIT EXPiR~ 180 DAYS FRG~ iTS I~E ~TE. iF <br />~ST~CT/~ C~ ~R A PERIOD OF 180 ~YS. OR iF ~T~CTI~ FAi~ TO REET ALL <br />~IR~TS OF STATE ~ ~D ~R[~ ~NTY BUILDING ~O Z~ING ORDIN~C~. THiS PE~IT <br />~ALL 8~E NULL ~D ~Ig. <br /> <br />REMARKS: iRRIGATiON PU~P R~2173 <br /> <br />OONALO E- WOOBLEY, MARION COUN1Y BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />