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MARION COUNTY BUILDING INSPECTION <br />SrSNATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, O, RFGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder, <br />Other ............. <br /> <br />OWNB~: DA'YE= ~/~:[/94 T'rHE: 15:50."06 ..... <br />S~MTI~H HOBILE <br /> OCCUPANCY; <br /> <br /> 1:l. 37~ MILL [',REEK R:[') -- ~ ..... CONTRACT CITY'. b~ :OOODPANT LOAD~ <br /> AUHSVILLE OR 97325 , MARION COUNTY;, bio <br /> USE 0¢ BUILDING'. ................. NO OF BEOROOMS: <br /> <br />: M'~ILIN~ XbbaESS: SUBDIVISION: <br /> <br />SANE <br /> <br />PHONE: 769-7744 <br /> <br />SITE flUNBER: ?4-81217 <br />VALUATION: <br /> <br />WlDTH~ DEPTH; : AREA; BN~T$: , IRREG. LOT'. i CORNER'. <br />, : NO ~ NO <br /> <br />TYPE: ELECTRICAL <br /> <br />L~CENSE FID: / <br />PO Box 651 <br /> <br />SERVICE/FEEDER LESS THAN 20~ AHPS <br />El.., .C~ RIC&L STATE <br /> <br />PERNIT OR APPLICATION NO: 9053820 <br /> <br /> 8UPERVISIN(; ELECTkICIAN/MUHBE ~ <br /> <br />QUANTITY AHOUNT <br /> 1 $50,00 <br /> <br />TOTAL AssE$$EI) FEES $52.50 <br />PREVIOUS ~ECEIF'T$ ~,4~. 00 <br />TH~S, RECEIPT $10. f~8 <br /> <br /> F'AYEF': Pacific Ooas~ ElectrJ~ IoC '~-~~'--- .RECEIPZ NO: 56371 <br /> REC~VE9 BY: DM2 W' · TYPE: CK CHEC( ~: 7011 <br /> <br />ALL NECESSARY [NFORNATIONHASBEEN <br /> <br />PLAN REVIEW: BY ................ ])ATE ;_ . .. CITY= JURI,~I)ZCTION. BY DA'rE <br /> <br />REHARKS: ELEC. SERVICE FOR COMML OFFICE <br /> <br /> OFFICE COPY <br />FORM ~ Mc 15-56 REV, 4/~0 <br /> <br /> <br />