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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 /> DAI'E: ;I. 2/08/74 fINE: t2:59:54 <br /> <br />~ AUHSVII,_LE 0R 97325 ~8~*~5~L~TV: ~ ,~OCdU~AN~LOAO: <br /> <br />"G~,iu~ ~d6~7 ............................................. S U BDIVI~ION'. <br /> I883 ~,. IDA MERRIFtEL~S <br /> STAYTON OR 97`983 SITE MUflSER: 94-8~91~ <br />, PHONE: 769-2652 VALUATION: <br /> <br /> ,~ ~ ~ ~2$ ~ eS 12W ~ coil ~sl <br /> WIDTH: 7~ ~DEPTH; [ ~8 AREA: I UNITS: ~RSG, LOT; ~ CfB~R: <br /> <br /> TYPE: ELECTRICAL PERHIT OR APPLICATION NS.- 6~124 <br /> <br /> COHTRACTOR,. 1,1O. 459.93 SIJPERVISING ELECTRTCIAN/NUHBEE <br /> LICENSE NO. <br /> Pacif&c (.oa.~t EZectr~c Inc <br /> PO Box 651 <br /> ~tay~on. <br /> F HSNE: 789-,7671 <br /> <br /> ITEM ~UANTITY A~OUNT <br /> BRANCH ~IRCUIT,¢ WITHOU1 SEkVICE OR FEE~ER 1ST CIRCUIT i <br /> OR FEEQE~ EACH ADgITIONAL 4 <br /> ~ANCH C~BCUZT. w~'rH~ST SE~WOE <br /> EL. ECTR~CAL. STATE SURCHARGE ' . $2.15 <br /> TO~AL ASSESSE~ FEES $45.15 <br /> PREVIOUS RECEIPTS <br /> TH~S RECEIPT $4¢- ],,,~ <br /> <br /> PAYE~[:,,,. ..... Pacific Coast E.ectr[c Inc RECEIPT NO: 6~725 <br /> RECEIVED BY: ~ff~ TYPE~ OK CHECK ~: 7556 <br /> $ THIS IS A VALI9 PERMIT $ IHI:$ pEEHIT EX~IEES 188 ~Af8 EEO~ ITS ISSUE ~ATE. IF <br />60N~TRUCTIOfl CEASES FOR ~ PERiO~ i~;6ONSTRU~TION FAILS TO MEET ALL <br />~EQUIRE~ENTS OF STATE LA~S ,AN~ ~ARISfl cOUNTY BUIEDIN~ AN~ ZONIN~ OR~INANCE~ TH~ PER~IT <br />SHALL BECOME NULL ~N~ VOID. <br /> <br />REMARKS: <br /> <br />I)8HAL. Q E. ~IOODI,.EY, MARION 60UNTY BUILDING :OFFICIAL / BY <br /> <br />OFF!C~ COPY <br /> <br /> <br />