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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 />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 6RT. ............ i ......... . RE~ I ]OEN~i~'~L <br /> <br /> t25 I,_EWZS ~T __ J CONTRACT C~TY: ~ UGh: ~OCGUPANT LOAD: <br /> ~'rRorr oR 97342 ~TROIT' ~NO <br /> <br />................................................................................. [ ~G~fii~ib;~ ........................ <br /> <br /> PNONE: 382-78&1 ~VALUATION:SITE HUHBER: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO,, 44248 <br />LICENSE NO: <br /> CONSUMERS POWER INC <br />P.O. BOX 1180 <br />PNILOHATN. ~7~70-0~00 <br />PHONE: ¢29-,3124 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> I'fEM <br />SERViCE/FEEDER LESS THAN 208 AMPS <br />BRANCH CIRCUIT. WITH SERVICE OR FEEDER <br />ELECTRICAL ~TATE SURCHARGE <br /> <br /> PAYI_E. CONSUMERS <br /> RECEIVED BY: MB <br /> <br /> ~ THIS IS A VALI9 PERHIT ~,,' <br />CONSTRUCTION CEASES FOR A <br />REQUIREMENTS OF STATE <br />SMALL BECOME MULL flM~ VOID. <br /> <br /> SERV/2/CIh FOR <br /> RF. Mh;~K[;= 20¢ "~ ..... ~ <br /> <br />OUANTITY AMOUNT <br /> 1 $50.00 <br /> <br /> $2.70 <br /> <br />TOTAL ASSESBEDFEES $56.70 <br />PR£VI. OU$ RECEIPTS $8.08 <br />THIS~ RECEIPT $56.70 <br /> <br />8ALANCEDUE $0.80 <br /> <br /> RECEIF'T NO: 587~7 <br /> TYPE: CE CHECK ~: 2820 <br /> <br /> IF <br />OR ZF :CONSTRUCTION FAILS TO HEET ALL <br /> AI,I]),:ZONING OR])iI,IANCES, THIS PERMIT <br /> <br />DONALd) E. ~00'~)I,,,~;~Y~ MARION COUNTY ~/UILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />