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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO., 225 <br />220 HIGH S~REE~'NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work On a property I own or occupy, <br />t ~m g registered builder OR ( ) the authorized representative SIGNATURE OY APPLICANT: <br />OIa registered builder, <br />The work will be performed by a registered builder. <br />Other, <br /> DATE; <br /> <br />owN~!r'E 2 ~A× LOT: <br /> <br /> 305 L,AKECRES'f <br />DE f'ROl 'T <br /> <br />5631 CASCADE S'f' <br />HE~I~I LiNN, OR 9'?068 <br />PHONE: 666-455? <br /> <br />WIDTH: OEPTH: <br />110 <br /> <br />]YPE: ~L.EC'IRICAL PERMIT OR APPLICATION NO: 33396 <br /> <br />CONI'F~&C'I'OR, NO. <br />LiIOENS~ NOr <br />PACIFIC COAST ELEC.,~NC. <br />P,O. 80X 651 <br />S'f'AYiON, OR 97383 <br />PHONE: <br /> <br />~,UPERVISiNG ELECTRICiAN/NUMBER <br />LEONARD MYERS <br /> <br /> [TEN <br />MANUFACTURED HOME SERViCE/FEEDER <br />ELECIRICAL STATE E, URCHARGE <br /> <br />QIJANI'tTY AMOUN'~' <br /> 1 $35.00 <br /> $1.75 <br /> <br />'rOTAL ASSE,',','5~ED FEES <br />PREVIOUS ~ECEIPTS <br />THiS RECEIPT <br /> <br />$36,75 <br /> $0,00 <br /> <br /> fg'AL2~NCE DUE $0. <br /> <br /> PAYEE: PACiFiC (,;,~OAS'f' ~LEC,, .(NC. RECEIPT NO: <br /> R~:CEIV~O ~Y: ~2 ..... TYPE: OK CHECK ~: 5215 <br /> <br /> ~ THIS i~ A VALID PE~IT ~ THI~ PE~IT ~PIR~ 180 ~ F~ ITS I~E ~TE. iF <br />~ST~TI~ C~ FOR A PERI~ OF 180 ~, OR IF ~T~CTI~ FAI~ TO ~EET ALL <br />~IR~TS OF STAT~ ~ ~O ~RI~ ~NTY BUILOI~ ~O Z~ING gROinS, THI3 PE~IT <br />~ALL B~E NULL ~D <br /> <br />REMARKS: C[~N ~t? 85';~ <br /> C,'x <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ................................ ~ .................................... <br /> <br />FO~U ~ MC *~-~.~,.~,~g OFFICE COPY <br /> <br /> <br />