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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 />The work will be performed by a registered builder, <br />Other <br /> <br />082'30/88 T I ME:''" "2 TI"g'.- 0'8~ <br /> <br />NARTUSHEZ, DAN <br /> <br />TAX LOT: J CATEGORY: ; <br /> ¢ RESZ DENT,' I AL, <br />OON~'I'I~UCflON fVp~ i OCCUPANCY: i <br /> <br />10831 ARNDT RD NE <br />AURORA OR 97002 <br />iUSE Of I)UILDING: <br /> <br /> P.O. 8OX 396 <br /> GERVAIS, OREGON 97026 <br /> PHONE: 982-7029 <br /> <br /> ~ 32 :.:,,~+~. ~ ~ 2~66 L6f:lw ~5~'~2'AR 1 <br />~WIDTH: DEPTH: { AREA: <br /> <br />........................ NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: . <br />CONTRACTOR, NO. SUPERVISING ELECTRICIAN/NUIV~ER <br />LICENSE NO: <br />r4ARTUSHEZ, DAN <br />P.O. BOX 396 <br />GERVAIS, ORE~ 97026 <br />PHONE: 982-?028 <br /> <br /> ITEM <br />ONE NEW BRANCH CIRCUIT;ALTER OR ~D~TEND <br />FLEET SURCHARGE -ZONE ? <br />ELECTRICAL STATE SURCHARGE :' : .. <br /> <br /> PREVIOUS RECEIPTS <br /> : ,~; ,.,, :",' !REOEIpT~ <br /> <br /> ",SAUCE DUE <br /> <br />(~JANTITY AMOUNT <br /> $15.08 <br /> $8.96 <br /> $0.75 <br /> <br />$24.?'1 <br /> $o.oo <br />$24_71 <br /> <br />$0.00 <br /> <br />PAYEE: MARTUSHEZ, BAN , ....... ?:.; r, ~ RECEIPT NO: 11514 <br />RECEIVED BY: J8 ~ ~PE ,~: CHECK ~: 983 <br /> <br />~T~CTI~ C~ ~R A~PERIOD OF 1~0 OR ~I~:/~T~CTI~ FAI~ TO ~ ALL <br />RE IR~TS OF STATE ~ ~D ~I~ t D[Z <br /> <br /> CIR <br /> <br />~NALD E, ~ODLEY, MARI~ C~N~ ¢DICD]NG'O~P[CiA :' · <br /> <br />OFFICE COPY <br /> <br /> <br />