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MARION COI,~NTY,~UILDING INSPECTION <br />SENATOF'[ BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M, - 8:00 A,M, <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />ow~TE: 04/12/'89 <br /> <br />SITUS ADFJR~S~I TM ' FRED <br /> <br />TIME: 3:14:12p ~, TAX LOT; <br /> CONS¥~0¢TIGN TYPE'· <br /> <br /> QATEGORY: <br /> <br />, OcCu~Ahc,y;., - RESI DENTIAL <br /> <br />310 LAKECREST ,DR CONTRACTOI'rYI UGB; <br />DETROIT OR 9734,2 <br />USE OF 8UILOINCI DETROIT NO <br /> <br />OCCUPANT LOAD: <br /> <br />NO. OF 8EOROOMS: <br /> <br />MAILING <br /> <br />SUBDIVISION; <br /> <br />12367 PORTLAND RD NE , <br />GERVA!S, OR 97826 <br />PHONE. 634-2207 <br /> <br /> · SZTE NUI~'~ER= :,6689 <br />TGWNSM,p;':~ ~h~A'IJJATtC~4:ZON'~i <br /> <br /> DEPTH; 'AREA:'! t:"~¢:4}:',',:!:.:,UNitSt' "~::'~:,' 10 'IRREG LOT= 5E CORNER;' <br /> <br />108 ' 1:61 17388+0 , NO ~NO <br /> <br />t05 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR,,NO. <br />LICENSE NO: <br />,~¢,,1I~,, FRED <br />13367 PORTLAND RD NE <br />GERVAIS. OR 97026 <br />PHONE: 634-2207 <br /> <br />PERNIT OR APPLICATION NO= 9015160 <br /> <br /> · ~,.~UPERVISlNG ~LECTRICIAN/NUM~ER <br /> <br /> ITE~ <br />C/'I SERV 101-200AMPS <br />FLEET SURCHARGE -ZONE 7 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: SMITH, EREO <br />RECEIVED BY= CL <br /> <br />~JA~T[TY ANOUNT <br /> $?:0.00 <br /> $8.B6 <br /> 3.50 <br /> <br />FEES <br /> <br /> $0.00 <br />$61.46 <br /> <br />$2.1.00 <br /> <br />RECEIPT NO: 16107 <br />CHECK ~: 0 <br /> <br /> !~HERE .THE <br />APPLIC, NV/T TO ASSURE THAT <br /> <br />REMARKS: <br /> <br />100-200 AMP FOR STORAGE BLDG ' <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />~ORMCMC15-56 REV. lU~8 OFFICE COP'~ <br /> <br /> <br />