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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 />SIGNATURE OF APPLICANT <br /> DA1E <br /> <br />0A1E~ 10/25/90 TiI~E~ 10:34=31 <br /> L AYI',"C,,N, <br /> <br />RESt DENf IAL <br /> <br /> 300 FRONf ST <br />DETROIT OR 97020 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />DETRO! f NO <br /> <br />MAILING ADDRESS SU 80I~'ISION <br /> <br />PHONE** <br />LOT Bt OCK SEC'f ION YOWNSHIP <br />8 <br /> <br />SiTE NUiVlBER: 11569 <br />VALUATION: <br />RANGE ZONE <br /> <br /> IRRE~ LOT CORNER <br /> NO NO <br /> <br />MAP <br /> <br />fYPE= ELECiRIGAL <br /> <br />CONfRACIOR, NO. 44248 <br />LiCE]~/SE NO: <br />CONSUMER POI~ER INC. <br />P.O.BOX 1180 <br />PHILOI~IAIH, OR 9'1370 <br />PHONE: 929-3124 <br /> <br />PE~i'r OR APPLICATION NO: 28310 <br /> <br /> ECJPERVlSiNG ELEOI'RiCIAN/NUi~3ER <br /> 8060-S <br /> <br />~ERV[CE/PEEDER 101 IfIO 400 ~ <br />ELECTRICAL SfAIE SURf'""14ARGE <br /> <br />2 $120.00 <br /> $6.o0 <br /> <br /> TOFAL AA.SBED PESS $126.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THiS RECEIPT $126.00 <br /> <br /> 8AL.-~NCE DUE $0.00 <br /> <br /> PAYEE: CON~UMER POWER INC+ R~EiPT NO: 29910 <br /> RECEIVED BY: ~2 TYPE: OK O~ECK ~: 51103 <br /> <br /> ~ TH18 IS A VALID PE~iT ~ THIS ~IT ~PI~ 180 ~Y5 <br />~ST~CTi~ C~ FOR A ~I~ ~ t80 ~, OR IF ~ST~Ti~ FAI~ TO ~EET ~L <br />R~IR~TS OF STATE ~ ~D ~Ri~ ~TY BUILDING ~0 Z~ING ORDIN~C~, THIS PE~IT <br />~LL B~E NULL ~D <br /> <br />RE~ARY¢5: 2- 200 AMP SERV R~4491 <br /> <br />DONALD E. b, YJOOLE~, IVlARION COJNIY BUILDING OFFICIAL / BY ............ <br /> <br /> OFFICE COPY <br />FORM # MC 1§-§6 REV 4/~O <br /> <br /> <br />