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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO, 225 <br /> 280 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODC:-A-PHONE 4::30 PM, - 8"00 A M <br /> <br /> lampefformingworkena roperty,ownoro¢¢up~,~ <br /> J am ~ regJstero~ buildot O~ ~ the authorized representative ~IGNATUR~ OF APPLICANT <br /> of a registered builder <br /> The work will be performed by a registered b~ilder <br /> Other <br /> <br /> DATE: 04/27/89 TIME: 9:23:25a <br /> LOU M~CTS LU~E~ MFG <br />SITUS ADDRESS CONSTRUCTION TWPE <br /> <br />OACEGOHY <br /> <br />OCCUPANCY <br /> <br />COP$4ERCIAL ~ <br /> <br /> 9493 PORTER RD SE OONTRACTOITY UGB <br />AUMSVILLE, OR 97325 <br /> MARION COUNTY NO <br /> <br />OCCUPANT L~Ag <br /> <br /> NO OF BEDROOMS <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br />SAME <br /> <br />PHONE: 74g-1800 <br /> <br />9S <br /> <br />SITE NUMBER: 7090 <br />VALUATION: <br />RANGE ZONE <br /> <br /> 1W <br />IRREG LO1 CORNEI,I <br /> NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 9015490 <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />LOU MAC'S LUMBER MFG <br />SAME <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 749-1800 <br /> <br /> ITFJ~ <br />C/I sEEr OVER 600 AMPS <br />C/I FEEDER OVER 400 AHPS <br />FLEET SURCHARGE -ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />I $200_00 <br />6 $510,00 <br /> $2.56 <br /> $35_50 <br /> <br />TOTAL AS$ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$748,06 <br /> $0_00 <br />$?48.06 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: Leu MAC'S LUMBER MPG ~ ..... ,RECEIPT NO: 16450 <br />RECEIVED BY: cl : , CHECK ~: 1018 <br /> <br /> A PER~I[T. PROCESS ~HERE THE <br />FOLLOWING r4JST BE CO~IPLETED~, IT~ =,THE' RESPONSIBILITY OF=,:THE APPLICC~IT TO ASSURE THAT <br />ALL NECESSARY INFOI%~tATION HA~¢~EE~ f>ROV[BEDL <br /> <br />PLAN REVIEW: 8Y ............ :DATE. CITY JURISDICTION= BY <br />REMARKS: 1 SERVICE OVER 600 AMP/5 FEEDERS OVER GQ0 AMPS R~6957 <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />