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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 /> I am performidg work on a property I own er o6cupy, <br /> lamaregJster~dbuilderOR( )theautborlzed represen~8,tNe <br /> of a registered builder, <br /> The work will be performed by ~ registered builder. <br /> Other__ <br /> t have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 09/14./87 TIME: 3:4.6.*33p <br /> <br /> NABS~NORTH. ~:OTT <br /> <br />TAX LOT; <br /> <br />RESIDENTIAL <br /> <br />SANE <br /> <br />PHONE: "/49-2419 <br /> <br />:BLOCK: <br /> <br /> SITE NUHBER t 2510 <br /> VALUATION: <br /> <br /> 30 85 IN SA 48 <br /> <br /> UNITS; i IRREG. LOT:NO <br />A~A: 1.00000 ~ AC <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />WADSt~ORTH. SCOTT <br />SANE <br /> <br />PHONE: 749-2419 <br /> <br />pER,tIT OR APPLICATION NO: 9004334 <br /> <br /> SUPERVISING ELECTRICIAN/NUrC~ER <br /> <br />TOTAL.ASSF_88ED. FEES <br />PREVIOUS RECEIPTS <br />THIS:RECEIPT <br /> <br />BALANCE DUE <br /> <br /> I TEN <br />~08ILE HONE SPACE (SVC EQUIP) <br />tviOSILE HONE CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE ,SURCHARGE <br /> <br />QUANTITY AI'4OUNT <br />1 $20.00 <br />1 $20.00 <br /> $3.84. <br /> $2.00 <br /> <br />$45.84 <br /> $o.oo <br />$4.5.84 <br /> <br />$0.00 <br /> <br />PAYEE: WADSINORTH..SCOTT~ ~~ RECEIPT NO= 4900 <br />RECEIVED BY: pb _ ' . .... . ....%-.--% TYPE= CK CHECK ~: 1191 <br /> <br />FO[.LO~IN~ ~ BE ~F&~'I~-.D. IT: If 'THE [~/:~I~BILI.TY'I',,'Pv nO~ 1HE AI:~LI~ TO AS~UR~E 'fHAT <br /> <br />ALL NECE~ iNF~TION: HA~ ,DElhi I~II~. <br /> <br />pLAN REVIEW= 8Y <br />REMARKS: <br /> <br />DATE ...... <br /> <br />CITY JURISDICTION: BY ........ BATE <br /> <br />FORM ~¢ MC 15-56 REV. 6/87 OFFICE COPY <br /> <br /> <br />