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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />[ am performin9 work on a property I own or occupy. <br />I ar~ a registered builder OR ( ) the authorized representative SIGNATUR6 OF APPLICAN~¢~ <br />of a registered builder, <br /> <br />Tho work will be performed by a registered builder, <br />Other. <br /> <br /> CATE; 10/01/87 TIME;: <br />OWNe~: NAT,SON, ERNIE <br /> <br /> 9914 MILL CREEK RD <br />AUMSVILLE <br /> <br />USE OF @UILdi~i <br /> <br /> 2; 12'- 28p <br /> .... i~AX I-O"i': icAT~OOR~: RESIDENTIAL <br /> <br /> ! GON~"fC~UOTION TYPE: <br /> ; OCCUPANOY: <br /> <br />OR 97325 SE i-~:'r~,*6:r CI~: I UOI~: !OCCUPANT LOAD: <br /> ~t&RION COUNTY NO idr ,,.0,DOGS: <br /> <br /> SAME ' <br /> PHONE: 749-2303 SITE NUIVlBER: 2696 <br /> VALUATION: <br /> <br /> ' 31 ' 8S i 'lW EFU . 48 <br /> <br /> ' RRE~ LOT'NO <br />WI~H:109 :DEPYH: 1~0~"EA: 17000.0 i UNITS: SP <br /> <br />'TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />WATSON, ERNIE <br />SAME <br /> <br />PHONE: ?49-2303 <br /> <br />PERMIT OR APPLICATION NO: 9004?29 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERV CHANGE ONLY~EXISTING RESIDENCE <br />FLEET SURCHARGE ~ZONE 3 <br />ELECTRICAl_ STATE SURCHARGE <br /> <br /> i;;TOTAL ASSESSED FEES <br /> . .PREVIOUS RECEIPTS <br />' ; THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $20,00 <br /> $3.84 <br /> $~,00 <br /> <br />$24.84 <br /> $0.00 <br />$24_84 <br /> <br />$0.00 <br /> <br />PAYEE: WATSON ERNIE ' . : ]; :;: ] ";RECEIPT NO: 5288 <br />RECEIVED BY: pb ........ ' ~ __ T,Y_P~'C~ CHECK ~: 1874 <br /> <br /> BY DATE~ <br />PLAN RffVIEW: OTI~: 8Y DATE <br /> <br />REMARKS: SE~. CHANGE R~684 <br /> <br /> <br />