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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHC N,E 5'8'~- 5147 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br /> ~'howorkwil be ¢erformedbyaregtsteredbuilder. <br /> Other <br /> I have te2d ,3tld a~roe to the terms Stated on the reverse side of DATE: <br /> this dOC u rT,~en h <br /> <br />DATE.' 05/08/88 TINE= 4:27;07c, <br /> <br /> MUSIC. PATR'J'CIA <br /> <br />RESIDENTIAL' <br /> <br /> 5721 VILLAGE VIEW CT <br />AUMSV~LLE OR <br /> <br /> SE CONTRACT CITY: UGB; OCCUPANT LOAD. <br />9?325 <br /> ~ARI Of 4 COUNTY NO <br /> <br />MAILING ADD'ESS; ----~ <br /> <br /> PHONE.* 581-83'79 <br /> <br />LOT 8t. OCK; <br />2 <br /> <br /> 190 <br /> <br />388 <br /> <br />SUBDIVISION. <br /> <br />VILLAGE VIEW <br /> <br /> SITE NUMBER: 43?4 <br /> VALUATION: <br /> <br /> 13 88 2N ARS 49 <br />73720.0 SF NO ; NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />t, IUSI C, PATRICIA <br />SANE <br /> <br />PHONE; 581-8379 <br /> <br />PERMIT OR APPLICATION NO: 90083?3 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MOBILE HOME CONNECTION <br />FLEET ,~¢JRCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: MUSIC, PATRICIA ~ <br />RECEIVED BY: ¢b <br /> <br />OOANTITY AMOUNT <br /> $2O.OO <br /> ~3_84 <br /> 1.00 <br /> <br />TOTALASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$24.84 <br /> $o.o0 <br />$24.84 <br /> <br />BALANCE DUE $0,00 <br /> <br />RECEIPT NO: 9026 <br />TYPE: CA CHECK ~: 0 <br /> <br />~ 'R'~[S IS NOT A PERMIT. THIS APPLICATION M.IS'[ GO THROUE~ A REVIEH PROCESS WHERE THE <br />FOLLOWING MUST BE CO~4PLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO A,.S~JRE THAT <br />ALL NECES~RY INFOR~TION HAS BEEN PROVIDED, <br /> <br />PLAN REVIEW: BY .......... DATE <br />REiVtARKS: CONN R~9997 <br /> <br />CITY JURISDICTION: 8Y .......... DATE .......... <br /> <br /> <br />