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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 performing work on a property I own or occupy, <br />lamaregisteredbuHderOR( ) the authorized representative <br />of a registered builder, <br />The work will be Dedormed by a registered builder. <br />Other <br />I have read and agree to the terms ststed on the reverse side of <br />ttDs document, <br /> <br /> OAT'E; 04./16/92 'f'iME: 10:07;15 <br />OWNER: <br /> ALLEY, DUDE & LADY ROSERI'A <br /> <br />DATE; <br /> <br />TAX LOT; CATEGORY: <br /> RES 1L),~:~N ~, <br /> ,AL <br /> <br />coN~RUCTi0N TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 150 N BU'f"f'E S'f' w- I' ~O'~:F'R~,ET-'~i~'~: .... I U~B; iOOCUPANT LOAD <br />DEl'ROI l' OR, 9'/'342 <br /> ; DEfROiT , NO <br /> <br />7210 RI DGENAY RD <br />SHERIDAN, OR <br />PHONE: 843-2622 <br /> <br />LOT: ! BLOCK: <br /> 718 <br />WIDTH: 1 O0DEPTH: <br /> <br />35 <br /> <br /> HAI~,3N D <br /> <br /> SiTE NUIV~ER: 92-00518 <br /> VALUAT' iON <br /> <br /> !SECTION: ' fOWNsNIP: I RANGE; ZONE; <br /> <br /> iAREA: UNITS: i IRREG. L. Of; <br />100! 10000. , SF ] NO~ NO <br /> <br />MAP: <br /> <br />TYPE: ELBC'FRICAL PEP~Ii'f' OR APPLiCA'riON NOt 39422 <br /> <br />C{~I'RAC'fOR, NO. 44248 <br />LICENSE NO: <br /> CON~i~URERS POWER INC <br />P.O. BOX 1180 <br />PH~LOC4A'fH, 9?3?0-0900 <br />PHONE: 929-3124 <br /> <br />SUPERViSiNG ELBC'I'RiCiAN/NUMBER <br /> <br />I~,1ANU~AC'~UR~D HOME SERVICE/~EEDER <br />BRANCH CIRCUIT, ~l'f'H SERVICE OR FEEDER <br />ELEO'rR~CAL STATE SURCHARGE <br /> <br />QUAN'T'iI'Y <br /> 2 <br /> <br />TO]'AL.A,.%.S~ED FE~ <br />PREVIOUS RECEIPTS <br /> <br /> AMOUNT <br /> $4-0. U0 <br /> <br /> $2.20 <br /> <br /> $4-6- 20 <br /> $0,00 <br /> SAD. 2O <br /> <br /> $o,0o <br /> <br />4-'14.66 <br /> 0 <br /> <br /> BALANCE DUE <br /> <br /> PAYEE: CONSU~ER:~ PO~ER iNC RECEIPT NO; <br /> RECEIVED BY: PB ........................................................................... TYPE: CA CHECK <br /> <br /> ~ THiS 18 A VALID P~IT ~ THIS PERPtlT EXPIRES 180 ~ <br />~SfBOTi~ C~ FORA PERiOD OF 180 ~, OR iF ~ST~CTi~ FAi~ TO ~EET ALL <br />R~iR~TS OF STATE ~ ~D ~Ri~:~NTY BUILDiNG ~D Z~IN6 ORDiN~C~. 'FH~S PE~iT <br />~ALL BEdE NULL <br /> <br />REfV'iARKS: 200A/2CiR SERVICE <br /> <br />0ONAL0 E_ WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM tf MC 15-56 REV. 4¢90 <br /> <br /> <br />