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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG..,~If.), 225 <br />220 HIGH STREET NE <br /> SALEM, QREGON 973fM <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />; AUHSWL..,E:,, [ R 97~2; , ~AR]:ON [,OUN'TYI NO J <br /> ~o o~ PEP '. <br /> <br /> KENNETH A RAS~USSEi% P,,E. "~ <br /> PHONE: 749-'4949 V~LUA'f Z Of,l: <br /> <br />TYPE: ELECTRICAL <br /> <br />CDNTR!-![iTOR,~ lqO.. 37410 <br />LICENSE NO: <br /> F Rtq-'ILER E ...ErSTRIL <br />11860 SW ¢.REEI,II:qJR6 RD <br /> <br />I;'.'FtO I'I E ~: ' <br /> <br />PERMIT DR APPLICAT'rON NO: 45~7 <br /> <br /> SUPERV]:SIN~ ELEL f~ILIAN/NUMBE. R <br /> <br /> J:TE~i <br />SERVICE/F'gEDER LESS THAN 200 AMPS <br />I~RANCH C]:RCUIT,, WITH SERVICE OR F'EEDER <br />ELECTRICAL STATE SURCHAR(;E <br /> <br />, A(EE. FRAI"ILER gl,..EL,R,,C <br /> <br />QUANTITY AHOUNT <br />3 $150.08 <br />28 $40.00 <br /> $9.,50 <br /> <br />TOTAL ASSESSED FEES $1,99.50 <br />PREVIOUS RECEIPTS $~,,00 <br />' THIS RECEIPT $I99,,58 <br />~ALANCE'PUE $0.00 <br /> <br />RECEIP-f I,i0: 48:1,90 <br /> <br /> RECEIVED BY;t DM2 . TyF'E: CK CHECK 41;: 17227 <br /> ...................................... z:ZZ2;zzZ:~;::zZZ%~::Z:::%Z:z::~:~zZ ........................................................................................ <br /> ~ THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 188 ~A¥S FROM ITS ISSUE DATE, IF <br />CONSTR~CTION CEASES FORA/PERIOD OF 188 DAYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIRENENTS OF STATE LAWS AND MARION COQNTYBOILDIN~ AN~ ZONIN~ ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: S SEF;/ICES/,:.O <br /> <br />DONALD E. ~OODL,;?~ ~AI,i]iON COUNTY BUILDING OFFICIAl. <br /> <br />FORM # MO 1 ~-~ REV. 4/tY,~ OFFICE COPY <br /> <br /> <br />