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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 />Other <br />I have read and a~]~'~'~ the terms statod o¢ the ~e~erSe side of <br /> <br />DATE <br /> <br />OWN§Afb: 05/28/91 liME <br /> <br />SITUS ABDRES~~A('~A f KO, DONALD <br /> <br />12:30:44 <br /> <br />90260-47b <br /> <br />RgblDENTiAL <br /> <br /> 150 bOOff AVE <br />BEl k-'Oif <br /> <br />OR 9't.~42 <br /> <br />OEFROI'I NO N0 0F ~OROOM~ <br /> <br /> P.O. BOX 57'? <br /> DETROiI, (,)R 9¢342 <br /> PHONE: <br />LOT 8LOCK <br /> <br /> PA'lION 2ND ADDIIlON <br /> <br />5iI~ NUMBER: 13089 <br />~AN~LUAIION: ZONE <br /> <br />WIDTH 1/~ OEP1H 5 AREA I UNITS q0 IRnEG LOT 5E CORNEn R~ <br /> <br /> 118 163 19234, 5P NO YB5 <br /> <br />fYPE: gLECf RiCAL <br /> <br />GC/N l RAC l OR, NO. 45933 <br />LiCENSE NO: <br />PACIFIC COASf ELEC.,iNC. <br />P.O, BOX <br />5fAYI()N, OR 9?383 <br />F~lflONb-,: '169-'767'1 <br /> <br />PER~If OR APPLICAf'ION NOt 903250? <br /> <br /> ~PERVi~iNG ELECtRiCiAN/NUmBER <br /> L~ONARD <br /> <br /> IIEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />EL~:CIRiCAL 51Alg SURCHARGE <br /> <br />PAYee: KE¥iN'S BACKHOE SERVICE <br /> <br /> QUANIi]Y Af'4OUNI <br /> ~ $s5.oo <br /> $~ _f5 <br /> <br />tOtAL ~EO FEES <br />PREVIOUS RECBiP'fS ~0_~0 <br />THIS RECEIPF <br /> <br />BALANCE DU~ <br /> <br /> RECEiPf NO: 34298 <br /> 0 <br /> <br /> RECEIVED BY: pr IYPE: iN CHECK ~: <br /> <br />* THIS IS NOT A PFJ~IlT. THIS APPLICATION FIJST GO THROUGH A REVIEW/ PROCESS ~ <br />~LL~ING ~ST BE ~LET~+ iT IS THE R~IBILITY OF THE APPLI~T TO ~RE THAT <br />~L N~ IN~TI~ H~ 8E~ P~IOED. <br /> <br />PLAN REVIEW: BY .......... DAle ......................... Oily JURiSDiCIiON: BY ..... 0Ale <br /> <br />REMARKS '' "*'" ,.~2&GCL.~¢.4 · <br /> <br />OFFICE COPY <br /> <br /> <br />