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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 RM. - 8:00 A,M. <br /> <br />DATE: 02/22/90 TIME: 11:13.~48 <br /> <br /> CHURCH OF GOO OF PROPHECY <br /> <br />TAX LOT: CATEGORYI <br />61221~000 <br /> <br />CO~E~IAL <br /> <br /> 10637 STAYTON RD SE <br />~J~VILLE OR 97325 <br /> <br /> CONTRACT CITY: UGh: <br /> <br />MARIDN COUNTY NO <br /> <br />MAILING <br /> <br />916 N 8IRr-__.H C/O DENNIS OLSON <br />STAYTON. OR. 9?383 <br />PHONE: 769-5088 <br /> <br /> 17 <br /> <br /> 2. <br /> <br /> SITE NUMBER: 2302 <br /> VALUAT I ON: <br /> RANGE~ ZONE: <br /> <br />9S 1N EFU <br />AC NO NO <br /> <br />MAP: <br /> <br />TYPE= ELECTRICAL PERt4IT OR APPLICATION NOt <br /> <br />22049 <br /> <br />CONTRACTOR. NO. <br />LICENSE NOs <br />C~URCH OF GOD OF PROPHECY <br />916 N BIRCH C/O DENNIS OL,~ON <br />STAYTON. OR. 97383 <br />PHONE: 769-5088 <br /> <br />~UPERVISING ELECTRICIAN/NU~ER <br /> <br /> ITEM <br />TENP CONSTR SERVICE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE ~URCHARGE <br /> <br />(~JANTITY ANOUNT <br /> 1 $30.00 <br /> <br /> 1.50 <br /> <br />TOTAL:,'A~EtJSED,!!FEES <br />PEEVIOUS~,RECEIPTS <br />THIS RECEIPT <br /> <br />$35.34 <br /> $0.00 <br />$35.34 <br /> <br />BALANCE DJE $0,00 <br /> <br /> PAYEE= C~URCH OF GOD OF PROPNECY RECEIPT NO: 233.82 <br /> RECEIVED BY: P8 TYPE='CK CHECK ~: 1501 <br /> <br />* ~lS IS A VALID ~IT *,'; ~IS:'~[~ '~IR~ 480 ~',,:~ IT~ I~E ~TE. IF <br />~X~ C~ ~R A ~X~,OE ~,80 '~;,~,' X,F~'~X~:,FAX~ TO ME~ ALL <br />~~ OF ~ATE ~ ~O'.~I~' ~. ~X~I~ ~O Z~XN~:~DIN~, ~ ~T <br />~ALL B~ ~ ~D ~zv. ;", ': , :: <br /> <br />RP~ARK$: TEMP R~0583 <br /> <br />DONALD E. NOODLEY, MARION COUNTCY BUILDING OFFICIAL / BY <br /> <br />FO~M # MC 15-66 REV 11/88 OFFrCE COPY <br /> <br /> <br />