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MARION COUNTY BUILDING INSPECTION <br />SENATOP~,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 />Other <br /> <br />BOCK, HENRY <br /> <br />TIME: <br /> <br /> 110 SOUTH TUMBLE ST <br /> DETROIT OR <br />USE OF BUILDING: <br /> <br />1: 14 ;44p !TAX¢ <br /> ~ i RESIDENTIAL <br /> <br /> ; ~AMMOND <br />630 ELECTRIC ST <br />SALEM 97302 <br />PHONE: 585-1713 SITE NUMBER: 4009 <br /> VALUATION <br /> <br />TYPE.* ELECTRICAL <br /> <br />CONTRACTOR, NO_ <br />LICENSE NO: <br />8OCK, HENRY <br />630 ELECTRIC ST <br />SALEM 97302 <br />PHONE: 585-1713 <br /> <br />PERMIT OR APPLICATION NO: 8985 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> iTEM <br />IrE)BILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 7 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $20.00 <br /> $8.96 <br /> $1.oo <br /> <br /> :TOTAL ~LSSESSED: F. EES <br />~ ' ':: .'..PREV.IOUS :RECE:IPTS <br /> ~I.S REOE:t PT¢:''' : <br /> <br />$29.96 <br /> $0.00 <br />$29_95 <br /> <br /> $0.00 <br /> <br /> PAYEE: BOCK, HENRY : ':" ,' '~: ~ECEIPT NO: 9654 <br /> RECEIVED BY: DM , ' ;iiTYPE: CK, CHECK ~: 1287 <br />................................. ~- .. i.i; .; ~; <br /> ~)N~[$ IS A YALZD PERMIT ~ THIS :?DA~ EBON: ]TS ]S...%IE DATE. IF <br /> TRUCT]ON CEASES FOR A PER]OB OF FAIi..,.S TO MEET ALL <br /> RF-.i~U]RENENTS OF STATE L.A[4S AND ORDZNAC4CF'~, THIS <br /> ..SHALL BECOME NULL AND VOID. : <br /> <br /> REMARKS: CONN R~6378 ?~ - ~~ ~~ <br /> OONAL0 E. WOODLEY, MARION COUNTY 8UILiD~NG OFFICIAL /"oY - ............ -_ <br /> <br />ro~ ,, ~; ,~ R~V../~ OFFICE COPY <br /> <br /> <br />