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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STRF_..,ET [',IF_. <br /> SALEM, OREGON,.9730!. <br /> <br /> PHONE 588-5147 <br /> COBE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> of a registered builder, <br /> The work will be performed by a registered builder, <br /> Other <br /> <br />0ATE: 09/30/8? TIME: <br /> <br />: CATEGORY~ OOMMER I CAL <br /> <br />OWN~: POTTER, MONROE i TAX LOT: <br /> <br /> 9224 SHAM SOUARE ROAD SE : ' <br />AU~SV I LLE OR 97325 f 86~tRA~'r ~iYYi <br /> MARION COUNTY <br />USE O¢ 8UILO~NG~ ~ <br /> <br /> SAME <br /> <br /> ~E: 36~6168 , SITE NU~ER: 2098 <br /> J VALUAT <br /> <br />LOT: 'BLOCK: ~C~i~;1 ~ ~6~N~'~F~:' 8~ ]~AMGE;i <br />WIDTH: :DEPTH: A~A: FU~i~ ~ ~RRC6, LOT: NO ~,cOR~: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 591 <br />LICENSE NO: <br />A C & E ELEC <br />3363 SILVERTON RD NE <br />SALEM OR 9?303 <br />PHONE: 363-2901 <br /> <br />PERMIT OR APPLICATION NO: 4711 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> ALLEN, LOUIS <br /> <br /> ITEM <br />SERV CHANGE ONLY-EXISTING RESIDENCE <br />TWO OR MORE NEW CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: A C & E ELEC <br /> <br /> QUANTITY AMOUNT <br /> 1 $20.00 <br /> 1 $20.00 <br /> $5_12 <br /> $2.00 <br /> <br />· :; ~i~O~AL A,.?±3~ED FEES $47.12 <br /> ReZZOuS RECEIPTS $0.OC <br /> THIS RECEIPT $47.12 <br /> <br /> BALANCE DUE $0.00 <br /> ': ,'::: RECEIPT NO: 5269 <br /> <br />RECEIVE0 BY: dm ___ ,_;::~' ,~_ ........... ,,~PE'+ CK CHECK ~: i734 <br /> <br /> THIS IS A VALID PERMIT TH1'$ P~RMIT EXJPIRES'I.80:.iDAYS: FR~f,I:ITS IS.SUE BATE. II= <br />CONSTRUCTION CE.A~B FOR A PERIOD OF 180 DAYS]; oRg:IF?,,CONST~CTION FAILS TO MEET ALL <br />RFJq~'[REt4ENTS OF STATE LAMS AND NARZON ORD;[NANCES. THIS PEI;~IT <br />.DMALL BECOME NULL AND VOID. ; <br /> <br />DONALD E. ~IOODLEY, MARION COUNTY BuILD~N~ 'O,~FICIAL / BY <br /> <br />FORM '¢ MC ~5'5e REV 6/87 OFFICE COPY <br /> <br /> <br />