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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREG..ON 97~01 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4;30 P.M. - 8:00 A.M. <br /> <br />I am performing work on 8 property I own or occupy. <br />lam aregi,steredbullderOR the authorized epresen a ye <br /> of 8 regis ~:red bu der, <br />The work will be performed by a registered builder, <br />Other <br /> <br />I have read 8nd apree to the terms stated on the reverse side of <br />tills document. <br /> <br />DATE: 04/29/88 TIME: 1 <br />OWNER: <br /> COAKLEY, RODNEY & VIARIA <br />StTUS ADDRESS' <br /> <br />56055-000 <br /> <br /> 5785 SHAW HNY <br />AUM~VILLE OR 9?325 <br /> <br />USE OF BuILDtNG: <br /> <br /> CONTRACT CITY: UGB <br />....... IV~.I ON. COUNTY NO <br /> <br />SUBDIVISION <br /> <br />!85 CULVER LANE SO <br />SALEM 97302 <br />PHONE: 862-8508 <br /> <br /> SITE NUMBER: 3198 <br /> VALUATION: <br />SECTION TOWNSHIP qANGE: 2ONE <br /> <br /> 18 .. 8S 1W AR <br />AREA JNITS. RREG. LOT CORNER' <br /> 4. 90000 AC NO NO <br /> <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD. <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO; <br />COAKLEY, RODNEY & MARIA <br />185 CULVER LANE SO <br />SALEM 9?302 <br />PHONE; 352-6508 <br /> <br />PERMIT OR APPLICATION NO: ?787 <br /> <br /> SUPERVISING ELECTRICZAN/NU~ER <br /> <br /> ITEM <br />1~08ILE HONE SPACE (SVC E(~UIP) <br />~)SILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $20.00 <br /> $3.84 <br /> <br />TOTAL ASSESSED,FEES $a5,84 <br />PRE¥IGUS RE1DE[PTS $45.84 <br />'04~$'RECEIPT $0_00 <br /> <br /> $0_00 <br /> <br /> PAYEE: .//.,¢2' :'' RECEIPT NO: <br />...................RECE;~VED BY: ~'~..~ ~. TYPE: CHECK ~- <br /> <br /> ~ FOR A P~ZOD OF ~80 ~,;OR ZF;:::~ST~CT~ FA]~ TO NE~ ALL <br /> RE~]~TS OF STATE ~ ~D ~R[~ ~N~ BU]UDZ~6 ~D;Z~[N60RBZN~O~, ~ZS PE~ZT <br /> ~ALL BEdE NULL ~D ~[D. ' <br /> <br />REMARKS: SERV & CONN R~9849 <br /> <br />DONALD E. NOODLEY, MAR[OI',I COUNTY BUILBZNG :OFP~;CIAL /8¥ //~/ <br /> <br />FO~M # MC 15'56 REV 6/S~ OFFICE COPY <br /> <br /> <br />