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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 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Tile work will be performed by a registered builder. <br />Other <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE; <br /> <br />OWNL~C,'i'E'- 03/05/92 T i~¢~E: ] 2: 53; 0'~ TAX t_OT: <br /> <br /> SAN'I'iAM ~ANI'T'ARY SERV~f~REN'fANA. SAM , <br />~ITU~ ADDRESS: : GONSTRUCT~ON TYPE: <br /> <br />56282-000 <br /> <br /> CONTRACT CITY JGE <br /> 9613 MILL CREEK RD -- <br /> AUfv~VILLE 97 325 <br />USE OFBUlLD~NG: AUIV~ViL~E NO <br /> <br />MAILING ADDRESS --~ SUBDIVISION: <br /> <br />PO BOX ]89 <br />SDBLiNI'FY 97385 <br />PHONE: <br /> <br />WIDTHZ DEPTH: <br /> <br />CATEGORY' <br /> <br />OCCUPANCY <br /> <br />COMMH.,~ J. AL,_ <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 50828 <br />LICENSE NOt <br />J R E"lectrffc <br />PO BOX 286 <br />Hubbard, 97032-0000 <br />PHONE: 981-3913 <br /> <br />PERf4iT OR APPLICATION NO: 38595 <br /> <br /> ,.SUPERVISING ELEC'FRiCiAN/NUMSER <br /> <br />SERViCE/FEEDER LESS 'FH.~NN 200 AMPS <br />SERViCE/FEEDER 201 TO 400 AMPS <br />BRANCH CIRCUIT, WiTH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUAN'IifY AMOUN1 <br />2 $'~6o,oo <br />1 $60.00 <br />25 $50.00 <br /> $10_60 <br /> <br /> TOTAL A,~I~.~ED FEES <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $220.50 <br /> <br /> BALANCE 0UE $0,00 <br /> <br /> PAYEE: J R E"lE~ctPic RECEIPF NO: 40610 <br /> RECEIVED BY: DM2 TYPE; OK CHECK ~: 48?5 <br /> <br /> * THIS I8 A VALZD PERi, lIT ~ THIS PERI, IT tEXPIRI~5180 DAYS FROM iT$ i,%-~E DATE. iF <br />O3N~TRUCTION CE.A~E~. FOR APER/OD OF tS0.DAYS, OR iF C(}N'~TRUCTION FAIL.~ TO MEET ALL <br />~_iA(~LIRE~IT$ OF STATE ~ AND I~C. RiONCOUNTY BUILDiN~ AND ZONING ORO[NANCE~. THIS PERi'lIT <br /> L B~E NULL AND VO~D: <br /> <br />REN~RKS: 3 ~ERVICES/28 <br /> <br />D(~ALO E. WOODLEY, IVtARION COUNTY BUILDING OFFiCiAL / BY <br /> <br />OFFICE cOPY <br /> <br /> <br />