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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 /> <br /> I am a r~glstered builder OR the authorized represen ;~ ire S GNATURE OF APPL CANT ~r~'''~.~''=''7'~ ~'~ <br />!TheworkwiilbeperformedbyaregisteredbuilOer,other ....... <br /> <br />OWN~;i)ATE: 04/08/94 T.[HE. 9.,.~9.36 ¢ TAX LOT: ..... <br /> <br /> ' 48384-526 <br /> PERKET'T', DICK <br />SITUS ADDRESS: j CONSTRUCTION TYPE: ~ OCCUPANCY <br /> <br /> &3~8~ HURRAY LM NE ~ CONTRACT CTY ~ Ue8: ['0CCU~ANT LOAD: <br /> AURORA OR ~Tee2 MARION COUNTY ~ NO <br /> <br /> STTE NUHBER-' 9'4-0e243 <br />PHONE: <br /> 250.,,.2469 <br /> V~LU&TZON= <br /> <br /> ~ ; 2 ~7 AC ~ NO r <br /> <br />TYPE= ELECTRICAL <br /> <br />CO~TRACTOR, <br />I._:[CEI~E NO: <br />PERKETT~ DICK <br /> <br />PERMZT OR APPLICATIOH NO: 9654076 <br /> <br /> SUPERVISlN~ ELEClk,C1AN/NLMI~:R <br /> <br />PHONE: 250-2469 <br /> <br /> ITEM <br />SERViCE/FEEDER LESS THAN 200 AMPS <br />DRANCH C~RCUIT. WITH SERVICE OR FEE~R <br />EI,.ECTRICAL STATE SURCHArgE <br /> <br />'TOTALASSESSE~,FEES <br />PREV.IOUS RECEIPTS' <br /> <br />QUANTITY AMOUNT <br /> 't $50 ,, 0~ <br /> <br /> $2.98 <br /> <br />$60.90 <br /> $0,,0~ <br />$60.90 <br /> <br />$0.80 <br /> <br />PAYEE: PER(E'rT. BICK RECEIPT NO: 56541 <br />RECEIVED BY: cl CK CHECK .~:: 103:~ <br /> <br />I'PROVZDED. <br /> <br /> % THIS IS HOT A <br />FOLLOUZHC HUST BE <br />ALL HECESSARY IHFORMATIOH <br /> <br /> REVIE~ PROCESS WHERE THE <br />'THE APPLICANT TO ASSURE THAT <br /> <br />PL, AN REVIEW: ~Y ............ DATE_'_Z~,_.='=_~,_.,_.,__',,~CIT~JUR'I$gICTION: BY .............. <br />REHARKS: ~UB FEEQER & 4 CIR FOR BU~54074 <br /> <br />DATF' <br /> <br />OFFICE COPY <br /> <br /> <br />