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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIgH STREET NE <br /> SALEM, OREGdN 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 58847904 <br /> <br />J sm pedorming work on a propecty l own or occupy, '' ~ ~.. ~ <br /> <br />8:09:19 <br /> <br /> 9804 MiLL CREEK RD 5E <br />AUMSVi LLE OR 9?325 <br /> <br /> TAX LOT: <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> CONTRACT CITY: : UGB: <br /> <br />MARION CCXJNI'Y' <br /> <br /> i OCCUPANCY'. <br />NO '~ ........... <br /> <br />FLOODRLAiAL ....................... <br /> <br /> Gl'f'E Nur~BER: 5084 <br /> VALUA'I'iO~Itzoh~ .....................[.~-~; ..... <br />IRREG LOT; CORNER; <br /> NO i NO <br /> <br />TYPE:: ELECTRICAL PER~Ii'I' OR APPLICATION NO: <br /> <br />36719 <br /> <br />CONI'RACTOR, NO. 03964 <br />LICENSE NO: <br />John A ~eer <br />10764 Nil] CpeE, k Rd <br />Aurr~.vff't"le, 9?325-0000 <br />PHONE: 749-2971 <br /> <br />SUPERVISING ELECTRiCiAN/NUMBER <br /> <br /> il'EM <br />SERVICE/FEEDER 100 A~PS OR LESS <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUAN'I' i 'fy ANOUN T <br /> 1 $35.00 <br /> $~. '75 <br /> <br />TOTAL ASSESSED <br />PREVIOU6 RECEIPTS <br />THiS RECEIPT <br /> <br />$36.?5 <br /> <br />$36. ?5 <br /> <br />BALANCE GtJE SD. 00 t <br /> <br /> PAYEE: John A Spoor, RECEIPT NO: 38651 <br /> RECEIVED BY: DM2 ................................... :L: .......... R ............................................ TYPE: CK CHECK ~$*. 859 <br /> <br />~ THI~ IS A VALID PE~IT *: THIS PE~IT ~PIR~ 180 ~YS F~ ITS I~E ~TE. iF <br />~ST~CT~ C~ ~ A PERIOD 0f 180 ~. OR iF ~3T~CTI~ FA~ TO ~EET ALL <br />~IR~T5 OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~O Z~iNG ORDiN~C~, THIS ~IT <br />~ALL B~E NULL ~D <br /> <br />REMARKS: 100 AMP SERV R~3906 <br /> <br />DONALD E. WEYODLEY, MARION COUNfY BUiLDiNG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />