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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 />I have read and agree to the terma stated on the reverse side of <br />this document, <br /> <br />LO¥; <br />iWIDTR; <br /> <br />ioWNER: ; f~× LOT; ; CATEGORY: <br /> .LACK,~ RONAI_.D COHMERCIAL <br /> <br /> ~URI]I~ O~ 97~2 ~ARION COUNTY ~NO <br />J <br /> <br /> F'HONE: 678-2724 ~ VALUATION: <br /> ~ ' ~ NO ~ NO <br /> <br />TYPEa ELECTRICAL <br /> <br />CON'¥R~CTOR~ biO. <br />LICENSE NO~ <br />CLACK. RONAL~ <br /> <br />F'HONE: 678-2724 <br /> <br />PERMIT OR APPLICATION HO-' 58992 <br /> <br /> SIJPERV I81NF,, ELECTRICIAN/NUMBER <br /> <br />SERVICE/FEEDER LESS THAN 280 AMPS <br />BRANCH CIRCUIT. WITH S~RVI'CE OR FEEDER <br />EI_EC'rRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $50.00 <br />8 $16.00 <br /> $3.30 <br /> <br /> TOTAL ASSESSED FEES $69.30 <br /> PRE¥tOUS RECEIPTS $0.00 <br /> ': i;;THIS RECEIPT $69.30 <br /> <br /> PAYEE: CLACK, RONALD ~"~"~ : RECEIPT NO: <br /> RECEIVE~ BY: DF' . ..... __t~?~J ......................... TYPE~ OK CHECK ~: <br /> <br />CONSTRUCTION CEASES FOE A PEE[O~ FAILS TO MEET ALL <br />~HALL ~ECO~E HULL AH~ <br /> <br />REMARKS: 200AMP, 8CIR <br /> <br />DONALD E. WOO~LEY, ftARION COUNTY BUiLBIN6 OFFICIAL / By <br /> <br />COPY <br /> <br /> <br />