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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M, <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br /> DATE: <br /> <br /> DATE; 07/05/89 <br />OWNER; <br /> <br /> FERY, GERALD <br /> <br />TIME: 10:23~55~ <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />COMM E RC I A L <br /> <br />11445 BEAN ALLEY RD <br />AUNSVILLE OR <br /> <br />USE OF BUILDING: <br /> <br />97325 <br /> <br />~4ARION COUNTY NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br /> 11826 STAYTON RD <br /> ~tONE; 769-5873 <br /> <br />LOT: BLOCK: <br /> <br />SECTION: TOWNSHIR: <br /> <br />SITE NUMBER: ??88 <br />VALUATION: <br />RANGE: SONE: <br /> <br />MAP: <br /> <br />WICTH: DEPTH: AREA: UNITS: <br /> <br />IRREG. LOT; CORNER: <br /> NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />17228 <br /> <br />CONTRACTOR, NO. 45933 <br />LICENSE NO: <br />PACIFIC COAST ELEC-,INC. <br />P.O. BOx 651 <br />STAYTON, OR 9?883 <br />PHONE: 769-7671 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />LEONARD ~YERS <br /> <br /> ITEM <br />IRRIGATION PUMP <br />FLEET SURCHARGE -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> <br />PAYEE: PACIFIC COAST ELEC.,INCi, <br />RECEIVED BY: pr , <br /> <br />* THIS IS A VALID PER~IT ' <br />CONSTRUCTION CE~ES FOR <br />~R/E~LIRENBNTS OF STATE ~ <br /> L B~E NULL ~D ~D. <br /> <br />~OTAL'ASSESSED,'FEES <br />PREVIOUS 'RECR]PTS <br />THIS RECEIPT <br /> <br />BALANCE DCtE <br /> <br />:,:RECEIPT NO; <br />:: :~K CHECK <br /> <br /> AMOUNT <br /> $30.00 <br /> $5.12 <br /> $-~. 5o <br /> <br /> $36.82 <br /> $0.00 <br /> $36,62 <br /> <br /> $0,00 <br /> <br />18315 <br />840? <br /> <br />[TS I~x..~C. JE DATE. IF <br /> FAI~ TO MEET ALL <br /> ORDINANCES, ]]4IS PER,NIT <br /> <br />REMARKS: IRR PMP R~2041 ':' <br />DONALD E. INOODLEY, MARION COUNTY 8U:ILDING O~*;~IAL /":BY <br /> <br />OFFICE COPY <br /> <br /> <br />