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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OFIEGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-I:'HONE 4::30 PM - 8::00 AM <br /> <br /> Other ........... <br /> <br />DAF'E. 08/29/88 TNv]E~ 1:53:55D <br /> ~IOL~r~R, B ILL <br /> <br />SIGNATURE O¢ APPLICANT <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 952 STE ! NKk, NIP RD .SE <br />A,/~cSv ~ L ''~ <br />L,: OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />CONTRACT CiTY UGB <br />!vlARI ON COUNTY NO <br /> <br />~852 %TEINI~6~M-~ RD SE <br /> <br />~s4t)NE: SITE NUI~IBER: 8594 <br /> VALUAT ! ON: <br /> <br /> :33 SS 1 (4 ~E <br /> 2C 299 ?8039- 0 SF NO h,O <br /> <br />MAP <br /> <br />CONTRACTOR, N,:3 8852 <br /> :CENSE <br />EL, ECTRI .C UNL l~I-rED <br />:282 N KATHY ST <br />S'i~Y ~r_)N ORE~ 9~383 <br /> <br />PERH[T OR APPLICATION h*,'~. 185 10 <br /> <br /> SUPERVISING ELECTRICIAN/NUHSER <br /> ~. RTER. CARY L 34548 <br /> <br />NOEZL_E HO!,V,!E S~aCE (SvC.' EQUI~} <br />EL ECTRICaI_ STATE SURCHARGE <br /> <br />R~,Yf_-t. 'zLbCYR~. UNL]*vtlTED <br />RECFiVEFJ ST, PR <br /> <br />QUANT [ TY ~.JvK)U N ? <br /> I $25 <br /> 't3 84 <br /> $l ?; <br /> <br />~'OTAL ASSESSED FEES <br />PREViC~dS RECEIPTS <br />~ I-~S RECEIPT <br /> <br />.}0 J'} <br />$ 0 C:,:X: <br /> <br />BALANCE DL ~ <br /> <br />RECEIPT !'40 _5s5 <br />TYPE: CK CHECK /~: 388 <br /> <br />* THIS IS A VALID PERNIT * THIS PERNIT EXPIRES 180 DAYS FROI~I ITS ISSUE DATE. IF <br />CONSTRUCTION CF_A~ES FOR A PERIOB OF 180 BAYS, OR IF C]DNSTRUCTION FAILS TO MEET ALL <br />REQUIRFJ~ENTS OF STATE LAWS AND I~,ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECONE NULL AND VOID. <br /> <br />REHLR!<S:: ~EK,/ ONLY R~,_248 <br /> <br />:'X.)HAL0 E. UOODLEY, ~I~R~ON COUNTY BL, ILDING OFFICIAL. / 8'( ....... <br /> <br />~-o~* ~c ~*-s~ .e,~ H,e~ OFFIC~ COPY <br /> <br /> <br />