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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREfET NE <br /> SALEM, (~ _P~GON 9'7301 <br /> <br /> PHONE: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> this document. <br /> <br /> SANTIAM MOBIL, E HOMES <br />SITUS ADDRESS; CONSTRUCTION TYPE; <br /> <br /> 11;~7;~ MILL CREEK RD -- <br /> AUMSVILI,,,E OR 97325 , MRklON COUNT'~ NO ' <br /> <br />i CAT[~ORY: <br /> COMMi RCIAL <br /> <br />SAME <br /> SiTE NUHBER: 94-81217 <br />PHONE: 769-7744 VALUATION: <br /> <br />: ; S2 ' 8S 1W ID 48R <br /> <br />TYPE: ELECTRICAL <br /> <br />I, ONTRA£,TOR~ NO. 45933 <br />LICENSE NO: <br /> Pacific Coast Electric <br />PO Box <br />St'*yt~rN 97~83-0000 <br />PHONE, 76~--.7671 <br /> <br />PERHIT OR APPLICATION NO: 78§~828 <br /> SUI~:'ERV;[SZN6 ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />ELECTRICAL S'fATE ~URCHARGE <br /> <br />TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPT~ <br /> THIS RECEII?T <br /> <br />QUANTITY AMOUNT <br /> 1 $50.00 <br /> $2.50 <br /> <br /> $0,00 <br />$42~00 <br /> <br /> PA,Y. EE: Pacific {,east Electric Thc ~ _,/ , ,RECEI_P.T,MO, 5~29 <br /> REI, EiVED BY: DM2 .......... ....... ~_ _L~/~-_~.,,..,_~_...;~.~.~ TYFE: CK CHECK ~: 7~87 <br /> <br />FOLL~T i~ cun~g=l[O. ~T IS THE RESPOHS~L~TY OF THE APPLICAHT TO ASSURE <br />ALL HECESSARY IHFORHATIOH HAS BEEH PROVIDEB~ <br /> <br />PLAN REVIEW: ]BY .................... : DATE ............... <br /> <br />REMARKS: ELEC. SER¥ICE FOR ¢OMML OFF'rcE <br /> <br />CITY JURIBDICTION: BY ............................. <br /> <br />DATE ............................ <br /> <br />OFFICIE COPY <br /> <br /> <br />