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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 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> DATE: 05/11/88 <br />OwNE~: PEARSON, RON <br /> <br />O~her. <br />I I~avo read and agree [o the terms slated on the reverse side of <br /> <br /> TIME: 9:16:34,,~ <br /> <br /> 12483 FRY ROAD <br /> AURORA <br /> <br />USE O~ BUILDING: <br /> <br /> SANE <br /> <br /> PHONE.+ 878~2557 <br /> <br />OR 97002 <br /> <br /> ' fAX LOT: 40917--000 iCATEGORY: <br /> <br /> i CONSTRUCTION TY~; OCCUPANCY: <br />NE ~ <br /> I OCCUPANT LOAD: <br /> r4~RZON COUNTY ; NO i <br /> <br />TYPE: ELECTRICAL <br />CONTRACTOR, NO. <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />LICENSE NO~ <br />PEARC::~N, RON <br />SAblE <br /> <br />PHONE: 678-255? <br /> <br /> 21 : 4S 1W ' EFU 6 <br /> *nEA: 3.82000 !UN,~S: AC i lRREG, LOT: YE~ !conrt'~: <br /> <br />PERNIT OR APPLICATION NO: <br /> <br /> SUPERVISING' ELECTRICIAN/NUNBER <br /> <br /> ITEM <br />MOBILE HONE CONNECTION <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QUANTITY ANOUNT <br /> 1 $20.00 <br /> $?.68 <br /> 1.00 <br />~OTAL:,~ED FEES $28.68 <br />' :::PRE~:~S RECEIPTS $28.68 <br />: THIS REOEIPT', $0.00 <br /> <br /> $0.00 <br /> <br /> ,", ~'REcEIPT NO: <br /> : :' : CHECK ~: <br /> <br />PAYEE: <br />RECEIVED BY: dB <br /> <br />CG'~ISTEUCTION CEASES FOR A PERIOD::OE:':178D:L'~__YS.;~ 'OR: T'E,:C~NSTEUCT)ON FAILS TO MEET ALL <br />REQUTRENENT8 OF STATE I_ANS AND BU'rED:'rNG :AND ZON'rNs ORD[N/~ICES, THIS PEI~4IT <br />SHALL 8ECONE NULL AND <br /> <br />RENARKS; CONN R~8569 <br /> <br />DONALD E. NOODLEY, NARION COUNTY 8UILOI~G O~FICIAL ~'iBY __ <br /> <br />RESIDENTIAL <br /> <br />FCCRM ~ MC 15-56 REV ./~,' OFFICE COPY <br /> <br /> <br />