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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 2_25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE~A-PHONE 4 30 PM.. - 8 00 A.M /"-%/ <br /> <br />HURLIMAN, MARCEL JR 40264-000 RESIDP~NIiAI <br /> <br /> 10429 CHAMPOEG RD NE CONTRACT CITY UGB <br />AURORA OR 97002 <br /> <br />SA~4E <br /> <br />PHONE: 678-5071 SllE NU~ER: 7919 <br /> VALUA'r I ON: <br /> <br />WIOTH DEPTH AREA <br /> <br /> UNITS IRREG LOT OORNEH <br />5.78999996 AC NO NO <br /> <br />FYPE: EL~'fRICAL <br /> <br />OON'r P, AO foR, NO. <br />LICENSE NO: <br />HURLiMAN, MARCEL <br /> <br />PHONE*. 678-5071 <br /> <br />JR <br /> <br />PEA'MIl OR APPLiCAIlON NO: 23990 <br /> <br /> .~UPERVISiNG ELECTRiCiA.N/NUME, ER <br /> <br />SERV CHANGE ONLy-P.~iSTING RE$IOENCE <br />FLEE1 SURCHARGE -ZONE 6 <br />ELECFRICAL SrAf'EE~JRCHARGE <br /> <br />PAYEE: HURLiMAN, I~ARCEL JR <br /> <br />'fOTAL ASS~ED FEPJS <br />PREVIEXJS RECEIPTS <br />THIS RECEIPT <br /> <br />QOANilTY <br /> ~ $~o.oo <br /> $7.68 <br /> <br />$39.18 <br /> $o.oo <br />$39+18 <br /> <br />BAL.ANCI~ OUE $0.00 <br /> <br />RECEiPI NO: 25416 <br /> <br /> RECEIVED BY*. Pf~ TYPE-+ CK CHECK ~t.. 52z~ <br /> <br />~ TH.ES :(S A VALID PERI, IT. :~ THIS PER~IT EXP.[RIE~ 180 DAYS FROD1 ][TS IEeE DATE. IF <br />O01~STRUCTION CEASE~ FOR A F~RIOD OF 180 DAYS, OR IF C~N'~TRUCTION FAIL~ TO ~ ALL <br />RIB~UIRE~II~ITS OF STATE ~ ~O I~.RION 6OUNTY BUILOING ~D Z~IN~ ORDINal, THI~ ~IT <br /> <br />RE~ARK~: SERV CHG <br /> <br />DONALD E. ~OODLEY, MARION CC~JNTY BUILDING OPFiCIAL / BY <br /> <br />FORM f MC 15-56 REV 11'~8 OFFICE COPY <br /> <br /> <br />