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Permit - 1268430
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Permit - 1268430
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Entry Properties
Last modified
2/4/2011 9:20:06 AM
Creation date
9/2/2003 3:40:29 PM
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Template:
Permits
Permit Address
920 9TH ST
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
6281
Permit Doc Type
Permit Document
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M~,,,,RION 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 ImM - 8::00 A M <br /> <br />of a registered builder <br /> <br />D~ 02/23/89 TIME: 12:20:17~ <br /> ILLAHE COUNTRY CLUB <br /> <br /> TAX LOT CATEGOR'/ <br /> COMMERC I ~L <br /> CONSTRUCTION TyPE OCCUPANCY <br /> <br />MARION C'C)uN TY NO <br /> <br /> 33?8 COUNTRY CLUB DR S <br />SALEM OR 9?302 <br /> <br />SAME <br /> <br />PHONEt 364-011'7 <br /> <br /> lOT BLOCK <br /> <br />TOWNRNIP <br /> <br />SITE NUMBER: 1290 <br />VALUAT I ON: <br /> <br />NO NO <br /> <br />PA <br /> <br />?3. i 0 <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />[LLAHE CC)UNTRY CLUB <br />SAM~ <br /> <br />PHONE; 384-0117 <br /> <br />PERMIT OR APPLICATION NO: 9014139 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />C/I FEEDER TO 100 AMPS <br />TWO OR MORE NEW CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 2 <br /> <br />PAYEE: ILLAHE COUNTRY CLUB <br />RECEIVED BY: o] <br /> <br />QUANTITY AMOUNT <br />4 $100.00 <br />1 $30_00 <br /> $2,58 <br /> <br />TOTAL ASSESSED FEES <br />PRE~VIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$132.56 <br /> $0.00 <br />$107.56 <br /> <br />BALANCE BUE $25.00 <br /> <br />RECEIPT NO: 14999 <br />TYPE: CK CHECK ~: 0 <br /> <br />* THIS IS NOT A PEI:;~,IIT. THIS APPLICATION r4LJST 60 THROUGH A RIEVIDN PROCESS WNERE THE <br />FOLLOWING MUST BE OOf4PLETEB. IT IS THE RF. LS~SIBILITY OF TIIE APPLICANT TO AS,gAJRE THAT <br />ALL NECESSARY INFORMATION HAS BEE]'4 PDDVIDED. <br /> <br />PLAN REVIEW: 8Y DATE <br /> <br />REMARKS: 4 100 AMP PEEDE~,2CIR+ R~5943 <br /> <br />CITY JURISDICTION; 8Y D 7~ <br /> <br />FOCMFFMCIS-56 REV 1188 OFFICE COPY <br /> <br /> <br />
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