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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 />Other <br /> <br />SIGNATURE OF APPLICANT <br /> <br />OWNER <br /> OAf E: 07/16/90 <br />SITUS ADDRES~,~ EL, NARK <br /> <br /> 5700 HUSKEY LANE SE <br />AUMSViLLE OR 97325 <br /> <br /> CONSTRUCliON TYPE '15300~550 OCCUPANCY RESiD~N] <br /> <br />MARION G"OUN'I Y NO NO OF <br /> <br /> PHONg: 588-9505 <br />i. OF BLOCK SECTION TOWNSHIP <br /> <br />~t1~ NUMBER: 9'789 <br />~ANN~L-~LUAT iON: ZONE <br /> <br />UNITS 85 IRREG LOT ~W COHNEn AR <br /> <br />49 <br /> <br />'TYPE: ELECIRICAL <br /> <br />CONFRACIOR, NO. <br />LICENSE NO: <br />E¥1EL, MARK <br /> <br />PERMI'! OR APPLICAIlON NO: 24945 <br /> <br /> SUPERVISING ELECtRICiAN/NUMBER <br /> <br />PHONE: 588-9505 <br /> <br /> iFE~ <br />RE~ WIRING < 1000 ~O ~f <br />I~MP CONSfR S~RViCE <br />FLEET SURCRARG~ -ZONE <br />ELEC]RICAL 51ATE ~URCHARGE <br /> <br />PAYEE: <br />RECEIVED MY: <br /> <br />'TOTAL ASSE~EB FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIP'f <br /> <br />BALANCE DUE <br /> <br />QUAN]iIY A~UN¥ <br /> 1 <br /> <br /> $4.00 <br /> <br />$87.84 <br /> <br /> $o.oo <br /> <br />$o.oo <br /> <br /> RECEiP f NO: 0 <br /> RB TYPE: CHECK ~: 0 <br /> ~ THIS IS A VALID PERi, IT ~ THIS PER~fllT E3KPIR~ 180 DAY5 FROiVl l'r5 i~E DATE. IF <br />~T~CTI~ C~ FOR A P~IOD OF 180 ~, OR IF ~ST~CTI~ PAI~ TO ~EET ALL <br />~IR~TS OF ~TATE ~ ~O ~R~ ~N~ BUILDI~ ~D Z~iNG ORDiN~C~. THiS PE~iT <br /> ALL B~E NULL ~D ~IO. <br /> <br />REMARKS; RE5 & lE R~803 <br /> <br />L×JNALD E, ~iYODLbY, MARION COUNI¥ BUILDING OFPiCIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />