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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG~NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 800 AM <br /> <br />03/08/89 <br /> <br />DAN I ELSON, <br /> <br /> TIME: 10:15:528 <br />WAN <br /> <br /> TAX LOT <br /> <br /> 15388-211 <br /> <br />MARION COONTY NO <br /> <br />9803 FRIENDLY ACRES <br />AUNSVILLE OR <br /> <br />97325 <br /> <br />SE <br /> <br />39394 BROCK DR. <br />$CIO,.OR 97374 <br />PHONE, 394-2379 <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br /> 19 8S lW <br />5.00006 AC NO <br /> <br />RESIDENTIAL <br /> <br /> 6685 <br /> <br />co~,~ AR5 NO <br /> <br />TYPE: ELECTRICAL ~ OR APPLICATION NO: C~ 0 14374 <br /> <br />CONTRACTOR: NO. <br />LICENSE NO. <br />OANIELSON, EVAN <br />39394 BROCK DR. <br />~CIO, OR 97374 <br />PHONE: 394-2379 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />~ILE HC~IE SPACE (SVC E(~JIP) <br />r4C~ILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICJkL STATE SUD/]4ARGE <br /> <br />(~.JANTITY ,AMOUNT <br />1 $25.00 <br />1 $25.00 <br /> 53.84 <br /> 2.50 <br /> <br />TOTAL ASSBSSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56.34 <br /> $o.oo <br />$56.34 <br /> <br />BALANCE DOE $0.00 <br /> <br />PAYEE: DANIELGON, EVAN RECEIPT NO: 15248 <br />RECEIVED DY: pr TYPE= CK CHECK ~ <br /> <br />* ~.~EI:~I~:F,-~ ~H%~PF. ENIT EXPIRE~ 180 ~ F~ ITS I~E ~TE. <br />~'[~TI~ C~ FOR A PERI~ ~ 1SO ~, OR IF ~TI~ FAI~ TO NE~ ALL <br />R~I~ OF STATE ~ ~D ~ ~ ~I~ZNe ~D Z~ING ORD~, ~S PE~IT <br />~LL ~ ~LL ~D ~ID. <br /> <br />REMARKS: MH SERV/CONN R~5534 y,/.,-~'~~ <br />DONALD E, ~)ODLEY, MARION O~JNTY BUILDING OFFICIAL / B <br /> <br />OFFICE COPY <br /> <br /> <br />