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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> S~ALEM,'OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M, <br /> <br /> I am a registered builder OR ) the authorized representative <br /> of a registered builder. <br /> <br /> Otber <br /> <br />pATE: tQZ27/8~ <br />~OWN~": , TAX LOT; <br /> ~AKLEY, ~DNEY & ~R~A 56055-000 <br />:~' A~SS: ~ CONstRUCTION TYp~; ~ OCCUPANCY; <br /> <br /> 5?85 ~AN H~ ~ CONTRACT CITY: ! UGe; ~OOCUPANT LOAD; <br /> AU~VI LLE OR 9?325 ~ <br /> ~BI~,.,~7~, ,, ~ NQ <br />lus6 OF gUlLDING', N0 0~ <br /> <br />~MAILING ~O6~E~ ~ SUBDIVISION: <br /> <br />RESIDENTIAL <br /> <br />SANE <br /> <br />PHCNE: 581-1872 SITE NUIV~ER: 2193 <br /> VALUATION: <br /> <br /> AR <br /> [ 4.90000i AC i NO I NO <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION NO: 9012205 <br /> <br />CONTRACTOR, <br />LICENSE NO: <br />COAKLEY, RODNEY & MARIA <br />SAME <br /> <br />SUPERMISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 581-1872 <br /> <br /> ITEM <br />r, tOSILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $20.00 <br /> 3.84 <br /> 1,00 <br /> <br />TOTAL'~ESSED FEES <br />'PREVIOUS-RECEIPTS <br />THIS RECEIPT <br /> <br />$24.84 <br /> $0.00 <br />$24.84 <br /> <br />BALANCE DUE <br /> <br />$0.00 <br /> <br />PAYEE: COAKLEY, RODNEY & I~NRI~ <br />RECEIVED BY; CL <br /> <br />RECEIPT NO; 12958 <br />CHECK ~: 3343 <br /> <br />=~ THIS IS NOT A PEi:~IlT. 'THIS <br />FOU..ONING Mlk..~T BE. COMPLETED. <br />ALL NECESSARY INFOB~IATION HAS BEEN <br /> <br /> PROCEE~ I~HF-~E THE <br />THE APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIEN: BY <br /> <br />B~T,E <br /> <br />CITY JURISDICT'ION: 8Y DATE <br /> <br />CON R~5645 <br /> <br />FORM ~ MO 15-56 R~V. ~/87 OFFICE COPY <br /> <br /> <br />