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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 /> of a registered builder. <br /> <br /> Other ,, <br /> <br />DAT~; 11/18/87 TIME: 8:27:12a <br /> SULLIVAN, U'~ LLIAM <br />SITUS ADDRESS: ! OONSTRUa~IQ'N T~I~Ez <br /> <br />~.-3A~ E <br /> <br />PHONE; 364..-2493 <br /> <br />I OC~LIPANcY: <br /> <br />AU~SVILLE OR 9?325 <br /> ~RIoN COUNTY NO I <br /> <br />SITE NUMBER: 3085 <br />VALUATION: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO_ <br />L[CENSE NO: <br />KEZZER EL..EC <br />PO BOX ?245 <br />&AL, EM OR 97303 <br />PHONE: 3?8-0267 <br /> <br /> PERMIT OR APPLICATION NO: 5563 <br /> <br />14357 SUPERVISING ELECTRZCZAN/NU~ER <br /> ~[KE WHITTAKER <br /> <br /> iTEM <br />ONE NE~ BRANCH CIRCUIT;ALTER OR EXTEND <br />rLEET SURCHARGE ~ZONE 3 <br />ELECTRZCAL STATE SURCHARGE <br /> !TOTAL AssE'SS~DFEES <br /> '"PREVIOUS: RBCE[PTS <br /> THIS'RECEIPT ' <br /> BA NCE guB <br /> <br />PAYEE: KEiZER ELEC <br />RECEIVED BY:, JB <br /> <br />QUANT I TY A~DUN T <br /> 1 $'} 5,03 <br /> i3.84. <br /> 0_75 <br /> <br />.,: ,, ....... CK:, CHECK <br /> <br /> $0, O0 <br />$]9.59 <br /> <br />$0, ,,) ,~, <br /> <br />5~30 <br />50?2 <br /> <br />REMARKS: I CIR, R~8236 <br /> <br />0ONALO E. NOODLEY~ ~ARION COUNTY DU~,LO~NG OFFICIAL ~ :BY <br /> <br />:O"M ~ MC ~-~,~ "~V ~/~'¢ OFFICE COPY <br /> <br /> <br />