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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 />CO~E-A-PHON£ 4:30 P,M, - ~:00 A,M, <br /> <br /> 8ANDY, RICHAR0 <br />SITUS AODRES~: <br /> <br />CATEGORY: <br /> <br />OCGUA~NCY: <br /> <br /> 9'19~ SHAW SQUARE RD <br />AUIqSVZLLE OR <br /> <br />97325 <br /> <br />SE <br /> <br />CONTRAOT CITY: UGG: <br />friAR! ON COUNTY NO <br /> <br />SITE NUMBER; 7053 <br /> VALUATION: <br /> <br /> 'I ~ UNITe: ~S IRREG. LOT: ~I~ CORNEI-~I AR <br /> <br />8. 90000 AC NO NC; <br /> <br />'tYPE- EL_CTRICAL <br /> <br />CONTRACTOR, NO, <br />t...[CENSE biO; <br />8ANDY, RICHARD <br /> <br />PHONE: 363',~6590 <br /> <br />PERMIT OR APPLICATION NO: 18386 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />MOBILE b,CS.~. S::>ACE (SVC EQUIP <br />~38 [ gE HO~IE CON1'4 EOT I ON <br />TWO OR ~IORE NEW CIRCUITS <br />FLEET SURCHARGE -ZONE 3 <br />ELECTR;CAL STATE SURCHAR@E <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT' <br /> <br />BAEANOE, BUE <br /> <br />QUANTITY ANO%~N'I- <br />I $25.00 <br />'! <br />1 $3~3C <br /> $S.~ <br /> $4.00 <br /> <br />$8'7.84 <br />$103.59 <br /> <br />$0. OO <br /> <br />PAYEE' BANDY RICHARD ', RECEIPT NO: 19582 <br />RECEIVED BY: ~i~, <br />* THIS IS A VALID PE~4IT 1]~ :¢,,~;;;PE~T ~P'IR~' 180; ~, f~ ITS I~E ~TE. IF <br />~ST~CTt~ C~ FOR ~ RERI,OD,~*OF,,,:I,80 DAYS( OR,IF ~ST~CT~ FAILS TO ME~ ALL <br />REdIReCTS OF STATE ~ :~B',,~R'I~ ,~N~ BU'~',LBING ~D'Z~ING OROIN~C~. ~IS PE~[T <br />~ALL BEdE NULL ~D VOZD." <br /> <br />REfqARK,~: SERV/OONN & 2 CIR FOR (AARAGE <br /> <br />OONALQ E_ NOODLEY, PlARION '~OONTY BUILDING OFFICIAL <br /> <br />~O~M ~ MC I~'~ REV H/~ OFFICE COPY <br /> <br /> <br />