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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 22.5 <br />220 HIGH STREET NE <br /> SALEM, O~EGQN-97B. O~ <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 A.M. <br /> <br /> The work will be performed by a registered builder, <br /> Other <br /> I have reBd and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> ~)ATE: 04/12/88 <br />: OWNER: <br /> COAKLEY, RODNEY & MARIA <br /> <br />5785 SHAW HWY <br /> <br /> LOT: CATEGORY: <br /> 55055-000 ~ESI DENTIAL <br />coNg+Rub~I(}N TYPE: ; OCcuPANcY: <br /> <br />AiJMSVILLE OR 9?325 <br /> <br />SUBDIVISION; <br /> <br />185 CULVER LANE SO <br />SALEM 97302 <br />PHONE: 362-6508 <br /> <br /> SITE NUMBER: 3193 <br /> VALUATION: <br />LOT: ¢BLOCK: :SECTION: ITOWNSHIP: i RANGE: ! ZONE; <br /> : ,AR <br /> <br /> 4.90000 ~ AC ,, NO NO <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: 362-6508 <br /> <br />PERMIT OR APPLICATION NO: 9007787 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> I'FEM <br />MOBILE HOME SPACE (SVC EQUIP) <br />MOBILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />q $20.00 <br /> $3.84. <br /> $2,00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS ~ ~ <br /> RECE~.P, <br /> <br />$45.84 <br /> <br />$45_84 <br /> <br />  ANCE DUE $0_ 00 <br />PAYEE: COAKLEY, RODNEY & MARIA ~ ,RECEIP NO: 8408 <br /> <br />¢ ~IS IS NOT A PE~IT. ~IS'APP~I~TI~ ~BT ~~ A RBIB P~ ~ERE ~E <br />FOLL~ING ~ST BE ~PL~ED. IY IS ~E R~SIBILI:~ OF ~E APPLIC~T TO ~RE ~AT <br />ALL NEC~ IN~TI~ H~ BE~ P~IDED. <br /> <br />PLAN REVIEW: 8Y .......... DATE <br /> <br />R~tARKS: SERV & CONN R~964g, <br /> <br />CITY JURISDICTION: BY ......... DATE .............. <br /> <br />; .O.M, MC ~,~ n~V ~V~ OFFICE COPY <br />i, <br /> <br /> <br />