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MARION COUNTY BUILDING INSPECTION <br />SENATO..R ~LDG ?40, 225 <br />_~.20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PMi - 800 AM <br /> <br />I am perform~r~9 work on a property I own or occupy <br />I am a registered bulldor OR ( ~ the authorized representative <br />of ~ registered builder <br />The work w~ll be performed b~ a registered b~fide~ <br />Other <br /> <br /> ~, T~ <br /> <br />90040-300 <br /> <br />sg'us ~ip~CS~TN ST <br />AUMSVI LLE OR 97325 <br /> <br />SUBLIHTTY OR 97385 <br />PHONE: 769-7254 <br /> <br /> DELMAR I I I <br />SUBDIVISION <br /> <br />SITE NUNBER: <br /> VALUAT ION ~ <br /> <br />8738 <br /> <br /> ~or 17 auoc, K 5 <br /> 75 <br /> <br />TYPE: ELECTRICAL <br /> <br /> SECTION 25 TOWNSHIP 8$ RANGE 2W ZONE <br />100 7500.00 SF NO NO <br /> <br /> PERt4IT OR APPLICATION NO: 8014546 <br /> <br />RS <br /> <br />r <br /> <br /> RES I DENT I AL <br />CATEGORY <br /> <br />MAP <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />DORAN, TON <br />PO BOX 185 <br />,.~4JaLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />TE]vlP CONSTR SERVICE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSESSED FEES <br />PRBVIOWS RECEIPTS <br />THIS RECEIPT <br /> <br />~ANTI]~¢ AlviOUNT <br /> $30.00 <br /> $3.84 <br /> $1.5o <br /> <br />$35.34 <br /> $o.oo <br />$35.34 <br /> <br /> ,/ ,~ALANCE DUE $0.08 <br />PAYEE: ErvlERY & SONS CONST. RECEIPT NO: 15420 <br />RECEIVED BY: or' TYPE; IN CHECK ~: 0 <br /> <br />~ THIS IS NOT A PERf, IIT. THIS APPLICATION FIJST 60 THROUGH A REVIE~ PROCESS iSHERE THE <br />FOLL.O~ING NUST BE COMPLETED. IT IS THE RESPOC4SIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFOR/~!ATION HP~S BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE__ <br />REIvIARKS: TE <br /> <br />CITY JURISDICTION: BY ...... DATE .......... <br /> <br /> <br />