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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH $'TREET NE <br /> SALEM, OREGON ~7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE: 12/21/<)2 TIME: 16:20:18 <br /> PYTHIAN BUILDING ~ , COHHERC[AL <br /> <br />14~7~ SECOND ST ............................................ <br />AUROR~ OR 97002 ~ NO <br />BUILdiNg: ~N0 0F BEDROOMS: <br /> <br /> ~'~-i~¢~o~ .................................... <br /> <br /> S~TE NUMBER = <br /> PHONE: V~LU~T[0N: <br /> <br /> m , AO NO ~ N0 <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: 445~Z <br /> <br />CONTRACTOR, NO. 20919 <br />LICENSE NO: <br /> Bear Electric :[nc <br />Po Box 389 <br />Donald, 97020-0000 <br />PHONE: 878--1~55 <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AHPS <br />8RANCH CIRCUIT, WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />SUPERVISING ELECTRICIAN/NUHBER <br /> <br />QUANTITY AMOUNT <br />2 $100,00 <br />20 $40.00 <br /> $7.00 <br /> <br />TOTAL ASBESSEO:FEES $147.00 <br />PREVIOUS RECEIPTS $0.00 <br />THIS RECEIPT $147.00 <br />BALANCE ~UE $0..00 <br /> <br />PAYEE: Bear Electric Inc :: '. RECEIPT NO: 46683 <br />RECEIVED BY: DH :TYPE: OK CHECK ~: 9629 <br /> <br />REMARKS: 2 SERVICES & 20 CIR <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/90 <br /> <br /> <br />