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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: 888-7904 <br /> <br /> E~ANK~, <br />SITUS ADDRESS: <br /> <br /> 105 GUY I~ORE OR <br /> <br />USE OF SUILDING: <br /> <br /> ' 67~Q6-0oo RESI DENT'.[~L <br /> i c0~+~bS<~O~ Y~p~: 0ccuPA~C¥; <br /> <br /> ~ : CONTRACT CITY: ~ UGB'. ~OCCUPANT LOAO: <br />OR 9734~ ~ <br /> QET~iT * NO NO OF ~U~00eS <br /> <br />MAIt-'I N ~ ADDRESS; ~ ...... , ~U~SIVISiO~ ......... <br /> <br /> .... ~4/~'KEY CREEK <br />2529 COFFEY LN <br />SANTA RC~A, CA 9540~ <br />PH~E: 'Z07~586-3~80 SiTE NUMBER: 1~745 <br /> <br /> ~.g~ 23?; 54510. ~ NO ' ~ES <br /> <br />TYPE: ELEC'rR~CAL PERMiI' OR APPLiCA'FION NO: 36??8 <br /> <br />CONTRACTOR, NO. 44248 <br />LZCENSE NO: <br /> CONSUMERS PO~ER [NC <br />P.O. ~OX 1180 <br />PHILOMA{'H, <br />PHONE: 929-3124 <br /> <br />:~UPERViSiNG ELECTRiCiAN/NUMBER <br /> <br />MANUFACTURED HO~E SERViCE~FEEDER <br />E:LgCTRICAL STATE ~UN'~HANGE <br /> <br />QUANIIT'Y AMOUNT' <br /> 2 <br /> $3_5o <br /> <br /> FO'FAL AE,~'~EO PE~ <br />PREY10US RECEIPTS <br />THIS RECEIPT <br /> <br />$?3.50 <br /> <br />$?3_ 5o <br /> <br />BALANCE DUE $0.U0 <br /> <br /> PAYEE; CON~UI~E~ POWER 1NC RECEJP'f' NO: 38?22 <br /> RE'CEIV~D BY: CL TYPE: CA CHECK ~: 0 <br /> <br />* THI~ 1~ a VALID PEI~lIT * THIS PERI~iT EXPIR~ 180 [:)AYS FROI~I ITS I~E ~TE. <br />~ST~CTI~ C~ ~R A ~RIOD OF 180 ~'; ~ IF '~T~CTI~ FAI~ TO ~EET ALL <br />R~IR~TS OF STATE ~ ~D ~Ri~ ~NTY 8UI~iNG~D Z~ING ORDIN~C~. %H15 PE~IT <br />~ALL 8~E NULL ~D <br /> <br />REF~ARKS; ~lH SVC/CON R~3108 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / WY ................................................................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />