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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 /> COE)E-A-PHONE430PM-800AM <br /> <br />SIGN,~TURE OF APPLIC&NT __ <br /> DATE <br /> <br />ow~BC~TE: 05/15/89 <br /> FERRY EOCK <br /> <br />TINE: 9:51:12p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 10758 STAYTON RD <br />AUr4SVILLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CONTRACT C~TY <br /> <br />MARION COUNTY <br /> <br />SU BDI'¢ ISION <br /> <br />NO <br /> <br /> RESIDENT fAL <br />OCCUPANCY <br /> <br /> SANE <br /> PHONE: ?89-5599 <br />LOT 8LOt~K <br /> <br />SECTION TOWNSHIP <br />AREA UNITS <br /> <br /> SITE NU~flBER: <br />~*,NG~ALUATIoN" ZON6 <br /> <br />7321 <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL PER~IT OR APPLICATION NO= <br /> <br />15991 <br /> <br />CONTRACTOR, NO. 45933 <br />LICENSE NO: <br />PACIFIC COAST ELEC.,INC. <br />P.O. BOX 651 <br />STAYTON, OR 9?383 <br />PHONE: 769-7671 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br />LEONARD ~IYERS <br /> <br />IRRIGATION PUMP <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AI~3~00 <br /> $1.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$35.34 <br /> $o.oo <br />$35.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: PACIFIC COAST ELEC., INS, RECEIPT NO; 16996 <br />RECEIVED BY; P8 TYPE= CK CHECK ~t~ 330? <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PER]OD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO f, IEET ALL <br />~XJLLIRI~IENTS OF STATE LAWS ~ND ~ARION COUNTY BUILDING AND ZONING ORDIN~ICES, THIS PE~IIT <br /> BECOME NULL AND VOID. <br /> <br />REt, lARKS: IRR PUMP R~7624 <br /> <br />DONALD E. WOODLEY, [MARION COJNTY BUILDING OFFICIAL / BY <br /> <br />FORM ¢ MC 15-56 REV I1'~. OPFI¢'E COPY <br /> <br /> <br />