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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: 888-5147' 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I a performin9 work ena property I own or occupy. <br /> <br />~ ! ve~ee °r reka; i: nbde aPg~;; r t~ ~ dh; tYe.~.;,g~ d~ Lt ~de.e~ <br /> <br />I)ATE: 10/06/9:'.~ TINE:: 8,'03:28 <br />KLEII% L, ARRY <br /> <br /> OR 97325 <br /> <br /> 9804 MILL CREEK RD <br />AUMSVILLE <br /> <br />c EC U, T i AL,, <br />OCCUPANCY: <br /> <br />¢CCUPANT LOAD: <br /> <br /> NOOF UEOAOOMS: <br /> <br />MAILING ADDRESS: <br /> <br /> PHONE: 7'49-2405 <br /> <br />FLOODPLAIN <br /> <br /> SITE NUHBERA 73-~3123 <br /> VALUATION: <br /> <br />LOT; : BLOCK: .... SECTION; "~CE,~ §~'i'6; RANGE; ZONE: MAP: <br /> ~1 8S 1W EFU 48 <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION HO= 5~445 <br /> <br />CONTRACTOR~ H0. 0~964 <br />LICENSE NO: <br /> <br />10764 N~ll Creek Rd <br />~uMsville~ ~7325-0000 <br />~HONE: 74~-2971 <br /> <br />SUPERVISING ELECTRICIAH/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />BRANCH CIRCUIT~ WITH SERVICE OR FEE~ER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $50.00 : <br />2 $4.00 <br /> $2.70 <br /> <br />TOTAL ASSESSED FEES $56.70 <br />PREVIOUS RECEIPTS $0.00 <br />THIS RECEIPT $56.70 <br /> <br />BALANCE DUE $0.80 <br /> <br /> ; PAYEE: Joh~ A Speer RECEIPT NO: 52839 <br />, · RECEIVES BY: PM2 ................................. TYPE: CK CHECK ¢: 1311 <br />, ~ ~ THIS IS A VALID PERHIT · THIS PERNIT EXPIRES 188 BAYS FROH ITS ISSUE DATE. IF <br />.... CDNSTRUCTZON CEASES FOR A PERIGDOF 1S~BAYS~'SR IF CONSTRUCTION FAILS TO NEET ALL <br />~, REQUIREHENTSsHALL BECOHE OFHuLLSTATEAND VOID.LAWS AND HARION' COUNTY BUILDING AND ZONING ORDINAHCES~ THIS PERHIT <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />100 AHP FEEBER~ 2 CIR <br /> <br /> WOODt_EY, HARION COUNTY BUILDING OFFICIAl.. / BY <br /> <br />FOBM tf MC 15-58 REV. 4/90 OFFICE COPY <br /> <br /> <br />