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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OR~ ECON.97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A.M_ <br /> <br />I am a registered builder OR ( the authorized representative <br />Other <br /> <br />DATE: t0/02/87 TIME; <br />OWNER: <br /> NHELEN, BARNEY <br /> <br /> 10261 LEVERMAN RD <br /> AUMSV I LLE OR <br /> <br />USE OF BUILDING: <br /> <br />1 .'.07; lob <br /> ~ TAX LOT; i CAT6GORY'. <br /> i COMMER ~ QAL <br /> <br /> SE CONTRACT CITY; i UGB: OCCUP~N~ LOAD: <br /> <br />10241 LEVERMAN RD SE <br />AUMSVILLE OR 9?$25 <br />PHONE: 749-2018 <br /> <br />MAIN RES # <br /> <br />LOT: <br /> <br />WIOTN: <br /> <br /> SITE NUMBER; 2392 <br /> i VALUATION: <br />!BLOCK T ~'~'i0 N; ! OWNSHIP: <br /> 31 $S ~ lW ~ AR 48 <br /> DEPTH; AREA: ,UNTS: i RREG. LOT; ;CORNER: <br /> 15.0000 I AC NO NO <br /> <br />TYpE~ ELECTRICAL <br /> <br />CONTRACTOR, NO. a4344 <br />LICENSE NO: <br />SULLIVAN'S ELECTRIC <br />PO BOX 417 STAYTON 97383 <br /> <br />PHONE: 759-7124 <br /> <br />PERMIT ORAPPgICATIONNO: 4756 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> MURRAY T. SULLIVAN/1336S <br /> <br /> ITEM <br />MOBILE HOME SPACE (SVC EQUIP) <br />MOBILE HOME CONNECTION <br />SERV CHANGE ONLY-EXISTiNG RESIDENCE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PRE~0WSi:RECE~PTS <br /> <br />QUANTITY AMOUNT <br />1 $20,00 <br />i <br />~ $20.00 <br /> $3.94 <br /> $3,00 <br /> <br />$0.00 <br /> <br /> THIS RECE;[ PT $66,84 <br /> <br />PAYEE: SULL]iVAN'S ELECTRIC "': ~N.I .... :RECEIPT NO. 5315 <br /> <br />~T~CT[~ C~ FOR A ;~[OO OF i80 ~:;~OE:~:~:E~ ~ST~CT~ FA[~ TO ~ ALL <br />RE~ZR~ OF STATE ~ <br /> <br />REMARK,_A:: S/C NOUSE--SERV/OONN',~ ~:, ~,~: <br /> <br />DONALD E. NOOOLEY. MARION COUNTY BUILDING,OFF:ICIA~./., BY <br /> <br />rOl~M ,¢ MC 1!~.~6 R~V ~/~ OFFICE COPY <br /> <br /> <br />