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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 />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />this document. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> TAX LOT: <br />:oWN'D'A'f'E;""' 94/24/92 1'J~E¢ 16: 12; 19 <br /> <br />COMMERC ] AL <br /> <br /> SAIv]E <br /> <br /> PHONE: ~,i 't'E ~L~I~R;, ,~2%0'I$] <br />tbf: r BLo6K; i ~SflONi ~8wus~iP; : ~ANG~ALUA'['i~ ~ ZONE'. MAP; <br /> <br /> WIDTH: ~DEPTH: AREA: : UNITS: INREG. LOT: ~: <br /> . <br /> <br />TYPE: ELECTRICAL PERNJ'f OR APPLICATION NO: 39599 <br /> <br />CONTRACTOR. NO. 039~4 <br />LICENSE NOt <br />John A S~eer <br />10764 Mi'l] Cr~ek Rd <br />Aumsvt'l"le. 97325~0000 <br />PHONE= '749~2971 <br /> <br />SUPERViSiNG ELECTRICIAN/NUMBER <br /> <br /> iTEM <br />SERViCE/FEEDER LESS 'THAN 200 AMP~ <br />PU~IP OR iRRiGATION CIRCLE <br />ELEC'IRICAL S'fATE ,SURCHARGE <br /> <br />QUAN'f'I']'Y AMOUNT <br /> <br /> $40.00 <br /> $4_50 <br /> <br />TOTAL ~E~EO FBES <br />PREWIOUS REC~IP'f'S <br />f'HiS RECEIPT <br /> <br /> $0_O9 <br />$94.50 <br /> <br />~ALANCE DUE <br /> <br /> THiS IS A VALID PER~IT * THiS PE~[T EXPIRES 180 OA~ F~ iTS I~E OATC. iF <br />~ET~CT[~ C~ FOR A P~RJOB OF 180 DAYS, OR iF ~ST~CT[~ FAILS TO NEET ALL <br />RedIReCTS OF STATE ~ ~B ~RZ~ ~NTY BU[LD[NG ~B Z~[NG ORD~N~C~, THiS PE~[T <br />~ALL BE~ HULL ~D VOID. <br /> <br />REMARKS; 200 SER/ tPU~A <br /> <br />DONALD E. W()OOLEY, ~ARION COUNf'Y BLiILDING OP'P'iC~AL / 8Y <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~E6 REV, 4/90 <br /> <br /> <br />