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MARION COUNTY BUILDING INSPECTION <br />SCNATOIR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR COOK.A-PHONE: 588-T904 <br /> <br />OW'~En: DATE:', 0c//',i,.5/93 ,TIME: ],0:1~8.~;~7 ;~AxLOf: CAYEGORy: <br /> AURORA OR 97e~2 '. MARION COUNTY NO I <br /> <br /> ~ 8ITE HU~BER: <br /> FHOME. ~8t-,~B~ MSG VALUATION: <br /> <br />,WIDTH; <br /> <br /> 1 ............. <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />LEHMER, GENE <br /> <br />PITONS': 981-2,~09 M,~G <br /> <br />PER~IT OR APPLICATION NO: 70499~1 <br /> <br /> SUPERVISING ELECTRICIAH/NOMBER <br /> <br /> ITEH <br />MANUFACTUREB HOME SERVICE/FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $40,00 <br /> $2.00 <br /> <br /> TOTAL ASSESSED FEES $42.00 <br /> · PREVIOUS RECEIPTS $0. r/JR, <br /> THIS RECEIPT $4~.'.~ 00 <br /> <br /> ?YEE: LEHMER. GENE ",.i i / :: . RECEZF'T NO: 52299 <br /> RECEIVED BY: DH2 Z4 .._~ .... ~. ':' "TYPE. CK CHECK ~: ~4e4 <br /> <br />FOLLO~IN~ HUST DE COHPLET[~. IT IS THE RES~OHSI~IL~TY DF THE APPLICANT TO ~SSURE THaT <br />ALL HECESSRRY ~HFOR~T~OH HAS ~EEH PROVIDED. <br /> <br />PLAN REVIEW: BY :: D~TE ::' ~ CITYJURISDICTION.' "BY ......... DATE, ............. <br />REMARKS: NH cERVICE <br /> <br /> OFFICE COPY <br />FORM # ~C 15,56 REV, 4j~O <br /> <br /> <br />