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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 /> <br />BATE; 12/31/87 TIME~ 12:34~20p <br /> <br /> SKINNER, DAVID <br /> <br /> '10756 r,4ATTHIEU LANE <br /> AURORA <br /> <br />USE O¢ SUiLDiNGi <br /> <br />MAILING AOORESS: <br /> <br />SANE <br /> <br />PHONE: 678-5220 <br /> <br />LOT: BLOCK: <br /> <br /> , TAX LOT: ! CATEGORY; <br /> i CONSTRUCTION TYPE; <br />OR 9?002 ' ' ~ <br /> <br /> ~ SITE NU~ER: 2410 <br /> : 8ECTicN; ', ~6~Ns~'IP: , RANGE: ZONE: <br /> <br /> : NO ~ NO <br /> <br />TYPE: ELECTRI,CAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />SKINNER, DAVID <br />SAME <br /> <br />PHONE: 6?8-5220 <br /> <br />PERNIT OR APPLICATION NO; 8125 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />C/I SERV 101-200 AMPS <br />C/I FEEDER TO 100 AMPS <br />FEEET SURCHARGE -ZONE 6' <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QUANTITY AfvlOUN'[ <br /> 1 $50.00 <br /> 1 $20.00 <br /> $7.68 <br /> $3.5o <br />::T~AC :~E¢ :,FEES $81.18 <br />: PREVIOUS RECEIPTS $0-00 <br />: THIS RECEIPT $81.18 <br />'' AU%EDUE $0.00 <br /> <br />PAYEE: SKINNER, DAVID ] RECEIPT NO: 6712 <br />RECEIVED BY: JB ,TyPE,~:C~: CHECK ~¢: 1273 <br /> <br />* THIS IS A VALID PERNIT * ~:',I~ IRE ~TE. IF <br />~T~ C~ F~ A ~Z~:: OF, ,180 ~.~ ~ ;~',q~OT~~ ~ FAI~ TO ~ ~ <br />R~IR~ OF STATE ~ ~D ~I~:>~ BUI:ED~D,Z~ING O~I~, ~IS P~IT <br />~ALL 8~E NULL ~D ~ID. , ::, :' <br /> <br />RE~RKS: ~8611 SELF' <br /> <br />¢O~M ,, UC ~-~ R~v ~/~ OFFICE COPY <br /> <br /> <br />