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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALPM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be ¢erformed by a registered builder, <br /> <br /> DATE: 02/15/94 TIME: 14:01:43 <br /> CHRIST LUTHERAN CHURCH : ~ COMMERCIAL <br /> <br /> 10529 2ND ST -- I"~ +'~l~i 0'~*'': ....... ~OCCUPANT LOAO: <br /> <br /> SITE Nt~ER: 94-00671 <br />PRONE: 981-8041 VALUATION: <br /> <br />TYPE: ELECTRIC~J~ <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />William K Engelman <br />PO Box 451 <br />Hubbard. 97032-0000 <br />PHONE: 981-8041 <br /> <br /> ITEM <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - 1ST CIHCUIT <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - EACH ADDITIONAL <br />ELECTRICAL STATE SURCHARGE <br /> TOTAL ASSESSED FEES <br /> PRE~iOUSHECEIPTS <br /> THIS RECEIPT <br /> ! <br /> BALANCEDUE <br /> <br /> PERMIT OR APPLICATION MO: 52918 <br /> <br />94581 SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AMOUNT <br />i $35.oo <br />4 $$.oo <br /> $2.15 <br /> <br />$45.;5 <br /> $o.oo <br /> <br />$0.00 <br /> <br /> :: RECEIPT NO: 55365 <br />PAYEE: William K En~elman <br />RECEIVED BY: DM2 TYPE: CK CHECK ~: 1157 <br /> <br />* THIS IS A VALID P~HIT DAYSFRO~ ITS ISSUE DATE. iF <br />CONSTRUCTION CEASES DAYS,. OR~:IFCONSTRUCTION FAI~S TO ~EET ALL <br />REQUiREmENTS OF STATE I~NS:AND Wa~ION.COUI~Y:BUIBDiN6 AND ZONING ORDINANCES, TMIS PERHI? <br />sHALL BECOME NULL ANDiVOID; : <br /> <br />REMARKS: 5 CIH IN KITCHEN <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />¸4, <br /> <br />FORM # MS 15-~6 REV. 4V90 OFFI[CR COPY <br /> <br /> <br />