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MARION COUNTY BUILDING INSPECTION <br /> SENATORBLDG NO 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE',', 51~8~o147 8',',00 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> , am performln9 *ork on a property I owfl or occupy <br /> <br /> The work v~41 be performed by' a reglstere <br /> <br />DARE: 89/18/91 r,[l~lE., 11:12:12 <br /> GREEN, JOE <br /> <br /> 11697 FALCON CQUR'r NE <br />AURORA OR 9?3082 <br /> <br />CONTRACT CiTY I UGB <br />IviARtON COLIN fY NO <br /> <br />, OCCUPANT LOAD <br /> <br />CENlURY ~EA~ ~4 <br /> <br />87 <br /> <br /> SiTE NUFIBER: 14128 <br /> VALUAIION: <br /> <br />SECTION TOWNSHIP RANGE lONE <br /> <br /> AREA UN~TS IRREG LOT ! CORNER <br />125 SP YES NO <br /> <br />RESIDeNtiaL <br /> <br />[YPE: ELECTRICAL <br /> <br />CQNIRACIOR, NO. 35151 <br />LICENSE NO: <br />PARKiN ELECIRiC INC <br />25248 SN C!SERSf RO <br />SH~RVCJOD 97140 <br />PHONE; 246-1301 <br /> <br />pEr, lit OR APPLICAtiON NO: 9035232 <br /> <br /> SUPERVISING ELECTRICiAN/NUMBER <br /> 895-3 <br /> <br /> ITEM <br />~4UFACFURED HCYflE ~ERVICE/FEEOER <br />ELECf'RICAL SI'AlE SURCHARGE <br /> <br />TOTAL ASSE~iSEO FEES <br />PRE¥iCUS RECE~PI'S <br />1HiS RECEIPT <br /> <br />QUANTI1Y A~ICON1 <br /> 1 $35.00 <br /> $1,75 <br /> <br />$36.75 <br /> $0.00 <br />$38_75 <br /> <br /> ~ BALANCE DUE <br /> PAYEE: PARKiN EL~CfRIC' INC ~ ,R~CEiP~ NO: 37132 <br /> <br />~ IS APPLICATIONMUST 60 THROUGH A REVIEW PROCESS ~HERE THE <br />~; ..... " . iT i8 THE ~[8[LITYOF THE APPLICANT TO AS~UR~ THAT <br /> <br />¢)LAN REVIEW: BY .............. DATE ........................ <br />RE~ARKS: SERVICE R~3523 <br /> <br />Ci1Y JURiSDICTiON: BY ........... DAlE <br /> <br />FORM # MC lS,,Se REV 4~90 OFFICE COPY <br /> <br /> <br />