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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2~0 HIGH $¥R.EET~NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-8147 8:00 ~ 4:30 <br />24 HOUR CODE,A-PHONE: 588-7904 <br /> <br />DATE: 07/02/92 TIHE~ 7:0.5:02 <br />~ULLIVAR, ~TAN I ; RESIDENTIAL <br /> <br /> ! ; <br /> 7988 ALBUS ROAD SE ?6~'~'~'~i~v' ......... ~'O~ <br /> AUMSVILLE OR 97)~5 ) ~AR~.ON COUNTY '1 <br /> ............................................... L ........... ~.: ........ ].-.. .... : ..... ) .......... <br /> <br /> 9ITE NUHBER: 92-024~5 <br /> PHONE: 747-~782 <br /> <br /> , I <br /> 6~bV~: .~'~: ~ ~' ~s. LO~.. 60~NE~: <br /> · ' ),o <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br /> Pacific Coast Electric thc <br />PO 8ox 651 <br />Stayton. 97383-0000 <br />PHONE: 769-7671 <br /> <br />PERMIT OR APPLICATION NO: 40987 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS R[CEIPT <br /> <br /> ITEM <br />~ERVIOE/FEEDER LESS THAN 200 AMPS <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $50.00 <br /> $2.50 <br /> <br />$52,50 <br /> $0.00 <br />$52.50 <br /> <br /> ]].' :i 8~LANCE DUE : $0.00 <br /> PAYEE: Pacific Co~st EleC~ciC :In¢. i ; , RECEIPT NO: 43023 <br /> RECEIVED BY: DM2 ~.' OK CHECK ~: 5989 <br /> <br />* TfliS IS A VALIOPERMIT~THI.SPERMI~':EXPIRES 180:OA¥SFROfl ITS ISSUE OATE. IF <br />CONSTRUCTION CEASES FOR APERIOO .OFi[80:OAYS, ORi;IFCOMSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LA~SiANDMARION COUMT:YBUILDING:ANOZONIHG ORDINANCES, THIS PERMIT <br />SMALL BECOME MULL ANO VOIO~ <br /> <br /> REMARKS: NEW SERVICE <br /> <br /> DONALD E. N00DLEY, MAR~ON COUNTY:BUILDING OFFICIAL BY <br /> <br /> OFFICECOPY <br />FORM ~ MC 15-56 R~. 4/90 <br /> <br /> <br />