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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 />2~. HOUR CODE-A-PHONE: 588-7904 <br /> <br />df a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br /> I)NTE: 08/30/94 TIHE:; 14:16r, 7,0 <br /> <br />~'~iT¢~ ~b~'; , CONSTRUCTION TYPE: 08CU~ANCY~ <br /> <br />/ ~L, 1RO.[I OR 97;~4,. ~E[ROIT NO <br /> <br /> I NACKEY CREEK ADDITION <br /> 1817 N H0SK:I:NS Sl' ~ .............................................. <br /> N WB:,d, OR 97:1.37 ~ ~ITE <br /> PFIONE= ,,~38"' ~bT..~ ~ VALUATION~ <br /> <br /> TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />I.'JdH11,-~CTOR~ NO~ <br />L'[OENSE <br />A[.LEN~ RICI'IAI~D & FLORA <br />1817 N HOSKINS ST <br />NEWBERG OR 971~.. <br />PHONE: 5;~8-9875 <br /> <br /> :£ T F' ~ <br />SI."'E¥~(CE/FEEI)EF,' LESS THAN 288 ANP$ <br />BRANCH !~IR[.:UII'~ WITH SERVtCE OR F'EEI)ER <br />EI,EC, TR%CAL STA'YE SURCHARGE <br /> <br />SUI:'£]W'I'SIN[; E'L ECTRIC..:AN/ItU~BEF( <br /> <br />']'O~AL ASSESSE~ FEES <br />P v ous. <br /> '" <br /> <br />QiJANTi'FY AHOtJNT <br /> <br /> 2 ¢4.88 <br /> '.!;2.78 <br /> <br />$56.70 <br /> $0.00 <br />$56.70 <br /> <br /> .. .. . $0,, 80 <br />F'AYEI.;: A....'.'N,, RICJ. AtJQ &.: ORA ':".'";' ,~ ..... <br />RhZCEIVF]) fry:-PPi ...:....%_ ...... r.*-. ..?'~'~:~!..i~ NO~ 602E~6 <br /> <br />REMARKS: SER~ 2 C(~? <br /> <br />FORM # MC 15.5~ R~/, ~ OFFICE COPY <br /> <br /> <br />