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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 />CODE-A-PHONE 4::30 PM - 800 AM <br /> <br />I h~,¥e read and 8gree to the terms stated of~ tho reverse side Of <br />th~s documont <br /> <br />DATE <br /> <br />05/04/89 <br /> <br />CONTEL BLB~ <br /> <br />TIME; 2:04:1.8p <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYCE <br /> <br />AUMSVILLE NO <br /> <br /> 980 MAIN ST <br />AUMSVILLE OR <br /> <br />USE OF B[JILDING <br /> <br /> CO~ERC [ AL*~ ~ <br /> <br />OCCUPAN'I LOAD <br /> <br />WIDTH <br /> <br />SITE NUIVBER: 7157 <br />VALUATION: <br /> <br /> NO NO <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 43455 <br />LICENSE NO: <br />BREAKER ELECTRIC <br />3670 -48TH AVENUE NE <br />SALEM. OREGON 97305 <br />PHONE: 371-9399 <br /> <br />PEENIT OR APPLICATION NO= 15'657 <br /> <br /> SUPERVISING ELECTRICIAN/NUfZBER <br /> JEFF BRODNIAK <br /> <br /> ITEN <br />C/I FEEDER 101-200 AMP~ <br />TNO OR NORE NEN CIRCUITS;ALT.OREXT <br />FLEET ,~¢JRCHAEGE -ZONE 3 ~:. <br />ELECTRICAL STATE E~URCHARGE <br /> <br />PAYEE: BREAKER ELECTRIC <br /> <br />Q4JANTITY <br /> 1 <br /> 1 <br /> <br />TOTAL. ASSESSED FEE~ <br />PREVIOUS.. RECEIPTS <br />THI.S RECEIPT <br /> <br />ANOLINT <br /> <br /> 30.00 <br /> $3.84 <br /> <br />$77.84 <br /> $0~00 <br />$77.24 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 16634 <br /> 4088 <br /> <br /> TYPE.-:: ~CK CHECK <br /> VALID PF_J:lffi]['T i~ .......... ' <br /> ,,~$,¢PE~IT,,EXP[RE~,::,180: cDAY~,.,~F~ ,,ITS I~E ~TE. IF <br /> ~CTI~ ~ FOR A PBI~ l~O~.' ~,,,~OR iF ~OT[~ FA[~ TO <br /> ~DI~ <br />R~I~, OF ~ATE ~ ~D*,.~I~"~ BUiLDiNG ~D',.Z~IN6 <br /> BE~ NULL ~D ~ID. ~ ,'~ <br /> <br />REI~RKS: 200 .N~fP FEEDER/2CIR R'~7501 <br /> <br />DONALD E. ~¢;;:ODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ~¢ M~ ~556 REV 11,8~ OFFICE COPY <br /> <br /> <br />