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MARION COUNTYJSUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />22¢"HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE ~68~5147 <br />CODE-A-PHONE 4:30 RM.. 8:00 A.M. <br /> <br />DA'r~ ~g~t7/89 TZ~4E~. 10;47=20a <br /> <br />SMITH. FRED <br /> <br />SIGNATURE OF APPLrOANT: --,. <br /> OATE: <br /> <br />CRTEaORY: R~IDENTIAL u, <br /> <br /> 310 LAKECREST DR <br />DETROIT <br /> <br />OR 97342 <br /> <br />NO <br /> <br />13367 PORTLAND RD NE <br />GERVAIS. OR 97026 <br />PHONE: 634-2207 <br /> <br />SITE NUFfBER: <br /> VALUATION: <br /> <br />6889 <br /> <br />LOT: BLOCK: SECTION: <br />WIDTH: 108 DSPT,: 161 AREA, <br /> <br /> 1 TOWNSHIP: 1 0 RANaE: SE ZON[: ~/F MAP: <br /> <br />17388. O UNITS: SF IRREG. LOT; NO COR~sRNO <br /> <br />105 <br /> <br />TYPE_* EL ~r'"r~'rCAL <br /> <br />CONTRACTOR, NO. 38880 <br />LICENSE NO: <br />DAVIS ELECTRIC <br />21082 RIVER RD NE <br />ST PAUL, OREGON 97137 <br />PHONE~ 633~2271 <br /> <br />E~JPERVI~ING ELESTRICIAN/ff4Uf'~8~R <br />JOESPH F. DAVIS <br /> <br /> ITEM <br />TNO OR .~ORE NE~CIRCUITS$ALT OR EXT <br />FLEET SURCHARGE ~ZONE ? <br />ELECTRICAL STATE SURC~AF~E <br /> <br />PAYEE: DAVIS ELECTRIC <br />RECEIVED BY: Bt4 <br /> <br /> AMOUNT <br /> $30~00 <br /> $8.96 <br /> $1.50 <br /> <br />~ROTAD,A,..%..~ESSED'FEES $40.46 <br />EVZOLIS RECE,~PTS $29.96 <br />THIS'RECEIPT $10.50 <br />BALC~CE DUE $0-00 <br /> <br /> RECEIPT NO: 17028 <br /> TYPE: CK CHECK ~: 298 <br /> <br /> IS~JE DATE. IF <br /> FAIl_STONED ALL <br /> ORD~IANCES. THIS PEI;~IIT <br /> <br /> THIS I$ A VALID PERMIT <br />CON~'fklJCTION :CEA¢~ FOR <br />REqUZRENI~ITS OF ~TATE <br />~L B:~E ~LL ~D <br /> <br />R~R~: 2 CIR <br /> <br />QUANTITY <br /> 1 <br /> <br />DONALD E. NOODLEY, r4ARION.::COtCNT¥.:BUtLDING.OFFICtA:L./BY <br /> <br />FORM ,~ MC 15-$¢5 RB~ ti/88 OFFICE COPY <br /> <br /> <br />