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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 RM - 8::00 AM <br /> <br /> Other --- <br /> <br /> CATE: 05/08/89 TZNE: 3;20:39p <br /> <br /> PETERS, THEODORE <br />SITUS ADDFIESS <br /> <br />TAX LO/ <br /> <br />/ <br /> <br />CATEGORY <br /> RESI DENT I Ab - <br />OCCUPANCY <br /> <br /> g117 SILVER FALL¢ HWY <br />AUMSV I LLE OR <br /> <br /> SE CONTRAOT CITY UC~B <br />97325 <br /> i'4ARI ON COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OFREOROOMS <br /> <br /> SAME <br /> <br /> l~flONE: 362-1555 <br /> <br />LOT 8LOCK <br /> <br /> SITE NUMBER: 7188 <br /> VALUATION: <br />SECTION TOWNSHIP RANGE ZONE MAP <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 9015742 <br /> <br />CC~ITRACTOR, NO. <br />LICENSE NO: <br />PETERS, THEODORE <br />SAME <br /> <br />SUPERVISING ELECTRICIAN/NUiV~ER <br /> <br />PHONE: 362-1555 <br /> <br /> ITEM <br />r4OEILE HOME SPACE (SVC EQUIP) <br />MOBILE HOHE CONNECTION <br />FLEET SURCHARGE -ZONE 8 <br />ELECTRICAL STATE SURCHAREE <br /> <br />QUANTITY Afcf]ONT <br />1 $25.00 <br />I $25.00 <br /> $3.84 <br /> 2.50 <br /> <br />.... TOTAL ASSESSED FEES $56.34 <br /> PREVIOUS RECEIPTS $0.00 <br /> T~4IS RECEIPT $58.34 <br /> <br />BALANCE DOE $0_ 00 <br /> <br />PAYEE: GRI~OLD, MARY P ,: RECEIPT NO: 16724 <br />RECEIVED BY: CL., ~ ................... TYPE.~==CK CHECK ~: 128 <br /> <br /> THIS I.q NOT A PERMIT+ THIS;.APPE+ICATION'~Y~JST ~O ~ROLI~H,~ REVIEW PROCESS t,~-IERE THE <br />FOLLONING Ivi~.ST BE CONPLEIFEDJ ?% ~:'irLI:S~]q-iE, RESPONSIBILITY OF THE APPLICANT TO P~S~URE THAT <br />ALL NECES,.SARY INFOI:~IATION HA,~BEEN PROVIDED. J. <br /> <br />PLAN REVIEW: BY DATE .............. <br /> <br />REMARKS: IVbl SERVICE & CON R~?025 <br /> <br />CIT*'F JURISDICTION: BY ....... DATE ......... <br /> <br /> <br />