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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALE~,M, ORE, GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a registered builder, <br /> <br /> Other <br /> <br />DAFE: 08/31/80 TIME: 10,;45:21 <br /> <br />OWNER: <br /> <br />TAX LOT: <br /> <br />CATEGORY: COt,'t, IERC I AL <br /> <br />SIIUS ADDRESS: <br /> <br /> 11002 SHAF;P' RD <br /> AUIvlSV J LLE <br /> <br /> CONSTRUCTION TYPE; <br /> SE <br />OR 97825 i CONTRACT CITY'. <br /> F,~AR i ON O'r. XJN 'r y <br /> <br />USE OF BUILDING: <br /> <br />MAILING ADDRESS: <br /> <br /> NORTHLAND CABLE 789-7338 <br /> 1810 N. iDA S'I'AY'Ff,;.~I 87888 <br /> PHONE .~ <br /> <br />SITE NU~ER: <br /> VALUAT I ON: <br /> <br />UGB: <br /> NO <br /> <br />3584 <br /> <br />LOT: BLOCK: <br /> <br /> O%,~NTRACTOR, NO. <br /> L,t CENSE NO** <br /> <br />SECTION: 98 i TOWNSHIP: 8~ 'IN <br />AREA; 77. AC iRREG. LOT: NO <br /> <br />45983 <br /> <br />ZONE: EE'U MAP: 80 <br /> <br />SUPERVISING ELEC'FR[C[AN/NUfV~ER <br />LEONARD MYERS <br /> <br />PACtFZC COAST ELEC..[NC. <br />P.O. BOX 651 <br />STAYTON, OR 87383 <br />PHONE: 769-7671 <br /> <br />C/1SERV 'rD 100 <br />FLEE)' r¢JRCHARGE ~ZONE 4 <br />ELEC'FRICAL STATE ,~URCHARGE <br /> <br />PAYEE: PACIF[C Cw,.l~T ELEC.,iNC. <br /> <br />QUAN'fI'fY AMOUNT <br /> ~ $45.oo <br /> $6.12 <br /> $2.25 <br /> <br />TOTAL'AE~ED FEB <br />PREVtOUSRE'CEiPT~ <br />THi~ RECEIPT <br /> <br />$52.8? <br /> <br />$52.37 <br /> <br />BALANCEOUE $0.00 <br /> <br />RECEIPT NO: 28462 <br /> <br /> RECEIVE0 BY: Pt9 ..................................................................................... 'rYPE.~ CK CHECK ~: 4564 <br /> <br /> THIS IS A VALID ~IT ~ THIS PERI,iT ~iR~ 1'80 ~ F~ ITS I~E ~TE. IF <br />~T~CTI~ ~ ~R A PBIOD OF 180 ~; OR iF~TB~I~ FAIB TO N~T ALL <br />~IR~TS OF ~TATE ~ ~O ~r[~ ~N~ BUILDI~ ~D Z~INB O~IN~C~, THIS P~iT <br />~ALL B~E NU~ ~O <br /> <br />REC4ARKS: 100 AJ~P R~2844 <br />DONALD E. ~OODL£Y, MARION COUNI'Y BUILDING OP'FICIAL / BY .................... ~ ............................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />