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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 555-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A,M, <br /> <br />Other__~ <br /> <br /> DATE: 06/28/88 TIME: 12:1~:0,0p <br />OWNER: <br /> CHAPNESKE, N.J. & GERTRUDE <br />SITUS ADDRESS: <br /> <br /> 9684 SILVER FALLS. HNY <br />AUMSVI LLE OR <br /> <br />TAX LOT: :: ::" i ~;ATEG(JH¥: <br />CONSTRUC'TION TYPE: = OCCUPANCY; <br /> <br />USE OF BUILDING: <br /> <br />RESIDENTIAL, <br /> <br />97325 I ; <br /> NAEION....CCUN~Y .... NO ~ <br /> <br />SUBDIVISION: <br /> <br /> SAME <br /> <br /> PHONE: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> SITE NUMBER: <br /> VALUAT I ON; <br />SECTION: :TOWNSHIP; ~ RANGE: <br /> <br /> 18 85 1N ~ AR 46 <br />AREA: UNITS; IRREG, LOT: ¢ CORNER: <br /> NO i NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO, <br />LICENSE NO: <br />PACIFIC COAST ELEC.,INC. <br />P.O. BOX 651 <br />STAYTON, OR 97383 <br />PHONE: 769-7671 <br /> <br /> PEF~IT OR APPLICATION NO: Cg393~) <br />45933 SUPERVISIN~"ELECTRICIAN/NUIV~ER <br /> <br /> ITEM <br />MOBILE HO~E SPACE ($VC EQUIP) <br />FLEET SURCtflARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />LEONARD MYERS <br /> <br />QUANTITY AMOUNT <br /> 1 $28.00 <br /> $3.84 <br /> 1+00 <br /> <br />TOTAL A..SSESSEDFEES <br />PREVICUSRECEIPTS <br />THIS RECEIPT <br /> <br />:BAL.&NCE CUE <br /> RECEIPT NO: <br /> TYPE: CK CHECK <br /> <br />$24.84 <br /> $o.oo <br />$24.84 <br /> <br />$0.00 <br /> <br />PAYEE: PACIFIC COAST ELEC..INC. 10059 <br />RECEIVED BY~ JB 2679 <br /> <br />* 'THIS IS A VALID PERMIT ~ THISPEI:~4IT EXPIRES 180:DAY~ FRONITS I~E DATE. IF <br />OD~TRU~qrION C~.~ FOR A PERIOD OF 180DAY~,OR IF(X)NSTRUOT~CH FAILS TO M~EI' ALL <br />REqUIReMENTS OF BTATE LA~ ANDMARION O(XJNTY BUILDIN8 ANDZON~NG ORDINANCe, l~IS PER~4IT <br />,~qALL BECX)ME NULL AND vOID. <br /> <br />REMARk: ~ SERV R~t?812 PACIFIC COAST <br /> <br />EX3NALD E, ~ODLEY, MARION CA~UNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />