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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 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OATE: <br /> <br /> 8483 WF_$'f STAY'f ON RD <br /> AUMSVILLE OR <br />us~ OF BUiLDiNG: <br /> <br />973E~5 <br /> <br />~E <br /> <br />CONTRACT CITY, <br /> <br />CATEGORY: <br /> <br /> RE~i DEN'[ iAL <br /> <br />LOT: <br /> <br />SITE NURBER.* 10618 <br />VALUAI ION- <br />RANG~ ' : ZONE: <br /> <br />NO NO <br /> <br />51 <br /> <br />TYPE: ELECTRICAL PERRI'F OR APPL[CA'rioN NO: <br /> <br />254?5 <br /> <br />crJ~II'RAOTOR, NO. 342 <br />L J CP.~SE NO.+ <br />D D ELECTRIC IvlOTOR SERVICE <br />519 c~'rER s'r s <br />SUBL~J'fY, ORE 97385 <br />PH~E: 769-2042 <br /> <br />SUPERV J,~5]tNG ELEO'r R J; C ], AN/NUIVE¢ ER <br />15gcP ! <br /> <br /> 1RRIGAT iON PU~4P <br />O/I SERV TO 100 AfflPS <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE ~URCHARGE <br /> <br />(gU,AN TI TY ANCK.IN'f' <br />~ $3o.oo <br />1 $45.00 <br /> <br /> 3.75 <br /> <br />THiS RECEIPT <br /> <br />$82.59 <br /> $0.08 <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: D D ELEhO'FR[C ~.O'FOR SERVICE R~:CEiPT NO: 26984 <br /> RECEIVED BY: PB ......................... .._.~: ......................................... TYPE: OK CHECK ~: 6398 <br /> <br />~ THIS tS A VALID P~IT ~H[S P~IT ~P1~ 180 ~ F~ ITS [~E CATE. IF <br />~T~CTI~ C~ ~ A P~J~OF 180 ~, OR JF ~T~CT/~ FAI~ TO ~T ALL <br />~[~TS OF STATE ~ ~0~1~ ~TY ~1~1~ ~O Z~[~ ~O1~C~, THIS PE~[T <br />~ALL B~E NULL ~O ~[,D, <br /> <br />REMARKS: WELL POMP & SERVICE RAt2215 <br />EY3NALD E. NOODLEY, ffTARION COUNTY BUILDING OFFICIAL / BY ................... l.~._.. ............................................................... <br /> <br /> OFFICECOPY <br />FORM # MG 15-56 REV, <br /> <br /> <br />