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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 /> DATE: 08/22/88 TIME: 1:45:29p <br /> FREDERICK, RICHARD <br />SI~0S ADDRESS: <br /> <br />11453 BITTER DR <br /> <br />SE <br /> <br />TAX LOT; ! CATEGORY: <br /> ~ RESI DENT I AL <br /> <br />CONS'CRUOTION YYPE'. I OCDUPANCY'. <br />CONTRACT CITY: I UGh; i ODOUPAN"¢ LOAD: <br /> <br />AUMSVILLE OR 87325 , , <br /> ~ON.,~IY.....( ~ ....................... ! <br />~E OF BUILD)NG: <br /> <br /> BITTER HILL TRACTS <br /> <br />SANE <br /> <br />PHONE: 749-2789 <br /> <br /> 1 1 28 <br /> ~ 5.00000 <br /> <br />TYPEt ELECTRfCAL PERMTT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />FREDERICK, RICHARD <br />SA~E <br /> <br />PHONE: 749-2?09 <br /> <br /> SITE NUMBER: 5256 <br /> VALUATION: <br /> /,-' ~-- <br /> <br />AC NO I NO <br /> 10595 <br /> <br />SUPERVISING ELECTRICIAN/NUmBER <br /> <br /> I TEN QUANTI 'FY /~OUNT <br />C/I SERV TO 100 AMPS 1 $30.00 <br />FLEET SURCHAR6E -ZONE 3 $3.84 <br />ELECTRICAL STATE SURCHARGE $1.50 <br /> TOTAL ASS~ED, FEES $~5. <br /> PREVIOUS .RECEIPT$ $0. O0 <br /> ~rHIS RECEIPT $35.34 <br /> <br /> BALANCE DUE $o. OD <br /> RECEIPT NO: 11305 <br />PAYEE~ FREDERICK, RICHARD ' <br />RECEIVED 8Y~ P8 , __ '': :TYPE:: ~K:: CHECK #.* 4523 <br />* TH~$ IS A YALTB PEI~4ZT ~ THIS PE~4IT EX~[RBS 180 I:)AY~ FROM ITS TS.SUE BATE. iF <br />CONSq'RUCTION OEA~E~ FOR A pERi'OB OF 180 DAYS; OR :ZF':,OONSTFi~I. JOT:~ON FAILS TO MEET ALL <br />RE(~i.J~RE~4ENT$ OF STATE ~ AND ,l~tt~'rON COUNTY BIJILB~N~i::ANDrT'ON:~N60RBTNANOE3. THIS PERMIT <br />SHALL BBOC~E NULL AND VOID. <br /> <br />RE]~iRK~= 100 AMP R~45~$ '~,' <br /> <br /> OFFICE COPY <br />F:ORM ~ MC 15-5~ REV. 8/87 <br /> <br /> <br />