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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />920 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 /> lam,aregisteredbuilderOR( )theauthorizedrepresentatwe <br /> <br /> The work will be performed by a registered builder. <br /> Other ....... <br /> <br /> DATE: 09/02/92 TIME." 15:54:$9 <br />:ClW~: ~, ~ax Lb'r: <br /> HA~KINS , ROBERT J JR. . 71050072 <br /> <br />, G~TEGORY: <br /> RESIDENTIAL <br /> OOOUPANCYz <br /> <br /> 11354 JANES WAY SE ........ · r i OCCUP^NTt.~AD <br /> AUHSVILLE Or 97325 j~)~ C(~T~UNTY [ u~ , <br /> <br />MAILING ADORESS; <br /> <br /> 600 SW VZENHONT <br /> PORTL~NO, OR ~7225 SZTE NUHBER: <br /> PHONE: 57[*0483 V~LU~TZON: <br /> <br /> [ 2~ J 8S ' [W AR 48 <br /> AREA UNq~' RREG LOT CORNER <br /> ~ ~ ~.74 ; C ~ YES N0 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 75668 <br />LICENSE NO: <br /> CUSTOM ELEC <br />2979 WALLACE RD NW <br />SALEM, 97~04 <br />PHONE: ~99~0907 <br /> <br />PERMIT OR APPLICATION NO: 42516 <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HONE SERVICE/FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $40,00 <br /> $2.00 <br /> <br />TOTAL ASSEsSE:D FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$42.00 <br /> $o.oo <br />$42.00 <br /> <br />BALANCE DUE $0.00 , <br /> <br />PAYEE: CUSTOM ELEC RECEIPT NO: 44379 <br />RECEIVED BY: DM2 TYPE: CK CHECK ~: 0 <br /> <br />· THIS IS A YALID PERHIT · THIS PERMIT EXPIRES i80 D&YS FROM ITS iSSUE OATE. IF <br />CONSTRUCTION CEASES FOR A PERIO0 OF 180 O~YS, OR:~IF CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LAWSRNOHAR~ON COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID~ <br /> <br />REMARKS: MF6 SERVICE <br /> <br />DONALD E, WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />