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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2¢*0 I¢IGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE ~88-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M, <br /> <br /> lamaregisteredbuiIderOR( ) the authorized representative <br /> <br />OATPh-'i~ 8~? r~¢88 TIME: 10:28:44,~ <br /> <br />OWNER: 8];ELENBERG; MR;/PATTEN~ MARGARET ',fA'X LbT: <br /> <br />!'CATEGORY: RESI DENTZAL <br /> <br /> 9053 SHAW SOUARE RD SE <br />AUMSVI LLE OR 97325 <br /> ~R~l~A~O~ty ; UG~N0 iOCCUP^N'r LOAD: <br /> <br />PHONE: <br /> <br />SITE NUMBER: 3822 <br />VALUAT I ON; <br /> <br />.............. AL PC ............................. ~ <br /> <br />CONTRACTOR, NO, 45933 <br />L i'CENSE NO: <br />PACIFIC COAST ELEC. ,~NC- <br />P.O. 8OX 851 <br />STAYTON, OR 9?383 <br />PHONE: 769-7671 <br /> <br /> ITEM <br />ONE N~W BRANCH CIRCUIT;ALTER OR E~TEND <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />LEONARD ~YERS <br /> <br />QUANTITY AMOUNT <br /> $15.00 <br /> $3_84 <br /> $0_75 <br /> <br /> ' i 'TOTAL ¢~,.~ESSED FEES $19_ 59 <br /> :::: :::::~ pREVIOUS ~ECE;[PTS <br /> $ o <br /> <br />PAYEE: PACIFIC ~AST ELEC. ;:,~NC.," , RECEIPT NO: 788'7 <br /> <br />~T~OTZ~ C~ FOR A FA[~ TO NE~ ALL <br />RE~ZR~TS OF STATE ~ ~D ORO[~C~, ~ZS PE~ZT <br />~ALL B~E NULL ~D ~[B. ' <br /> <br />~NAL~ ~. NOOOL~Y, ~ARZON COUNTY 8UZ'L~N~ ~:¢;~C~AL:/"~Y <br /> <br />¢. ~v e/e? OFFICE COPY <br /> <br /> <br />