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MARION COUNTY BUILDING INSPECTION <br />SSNATOR 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 /> of a registered builder. <br /> The work wild be performed by a registered builder. <br /> Other <br /> <br /> TA~ LOt: <br /> ', .~ o- ~7~32~-23~ RESIDEMTI~L <br /> : 8CO6~NCY: <br />"SI~US ~oD~E$S; ', CONSTRUCTION TYPE: <br /> <br />: .4;18 DIJ~ORE OR SE ' ' <br /> , ......... . r CB' OCOURANT LOAD' <br /> <br /> i SITE NUHBER~ ~4-8418~ <br /> PHONE; 58,~-...664 ~ALUATION~ <br /> <br />~OT: r A'E b~-A', i'~'~fiC~;, ,iTOWNSHIP; I RANQE: , ZONE MAP <br />; , ,13 ~ 88 ,~W hR] ~9 <br />~ DE~TH'. AREA'. ~ . ~ I U~$'. ~ ~. LOT: <br />~ ~ I ' <br /> <br />TYPE: ELECTRICAL <br /> <br />CONI'R~CTOR~ <br />LICENSE <br />RUDISHAUSER,~ RICK <br /> <br />PERMIT OR APPLICATION NO: S9232 <br /> <br /> sUPERVISZN6 ELECTRICIAN/NUMBER <br /> <br />PHOME; ,.)8.J ..664 <br /> <br /> ITEM <br />SERVICE/FEEDER LESS TITAN 200 AMPS <br />BRANCH CIRCUIT. WITH SERVICE OR =EEl)ER <br />EL, EC'TRICAL STATE ~URCHARGE <br />SERVII,,E/FEE~ER L,E;,S THAN 20~ AMPS <br />BRAI,ICIt CIRCUIT. WI'I'H SERVICE OR FEE~ER <br />ELECTRICAL STATE SURCHARCE <br /> <br />TOTAL ASSESSED FEES <br />PRE¥IOU., RECEIPTS <br />THIS RECEI'PT <br /> <br />QIJAMTITY AMOUNT <br />t $50.00 <br />3 $6.00 <br /> $2.80 <br />I $50.00 <br />3 $6,00 <br /> $2.80 <br /> <br />$~17,,60 <br />$58.80 <br />$0.00 <br /> <br />BALANCE DUE $e,,~0 <br /> <br /> PAYEE: RECEIPT NO: <br /> RE.E, IVED BY:: cl TYPE: CHECK ,~: 0 <br /> <br /> * TNI~ IS A VALID PERMIT ~ THIS PERMIT EXPIRES 18~ DAYS FROM ITS I~SUE DATE. IF <br />CBNSTRUCTIQN CEASES FOR ~ PERIOD OF 188 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />SHALL ~ECONE NULL ~ND VOID. , <br /> <br />REHARI(S: SERV/~/C.[R , <br /> <br />FORM ~ MC 15-56 REV. 4/9O <br /> <br />OFFICE COPY <br /> <br /> <br />