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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 /> <br />Other <br /> <br />I have rea,~ and agree to the terms stated on the reverse side of <br />~his document. <br /> <br />OWNI~R ~A %E. 08t~/~ TINE. ~.~ 4~ TAXL T <br /> ' ; 0 CATEGORY; ] <br /> CAL. ORWASH NURSERY/E~ SCNULTZ ' , COMffERC[AL I <br />SITUS ADDRESS; ...... I CONST~O~IdN 6~duP~N~: ~, <br /> <br /> · 86~8¥ b~ ........ <br /> 2~668 HIGHWAY 99E NE ~ o~: da~0¢a~T'Ca~5; i <br /> AURORA <br /> OR ~7882 L ~ARION COUNTY NO I¢ <br /> <br />PHONE: 678-2221 <br /> <br />SITE NUNBER: 9S~26~1 I <br />VALUATION: <br /> <br />L !MO NO ] <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION HO: 48745 <br /> <br />CONTRACTOR, NO. 26871 <br />LICENSE NO: <br /> Canby Electric Inc <br />798 S Ivy 5'~ <br />Canby, ~701~-000~ <br />PHONE: 266-7878 <br /> <br />SUPERVISING ELECTRICIAN/NUHBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 288 AMPS <br />~RANCH CIRCUIT. WITH SERVICE OR FEEDER <br />FUMP OR IRRIGATION CIRCLE <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> 2 <br /> 1 <br /> <br />AMOUNT <br /> <br /> $4.00 <br /> $40.00 <br /> $4.70 <br /> <br /> $0.00 <br /> $98.70 <br /> <br /> $0.00 <br /> <br /> TOTAL,A§SESSEB FEES <br /> CREVIOus'R C , TS <br /> THISREcEIr'T <br /> BALANCE:DUE <br /> PAYEE: Ca~b~ Electric Inc RECEIPT NO: <br /> RECEIVED BY. DH2 <br /> 51174 <br /> TYPE: OK CNECK 8: ~5417 <br /> <br />~UCTION CEASES FORA PERIOD OF 188 ~AYS, OR iF CONSTRUCTION FAILS TO NEET ALL <br />REGUIREHENTS OF STATE LA~S AND HAR[ON COUNTY BUILDING AND ZONING ORO~NANCES~ THIS PERH~T <br />SHALL BECOME NULL AND VOID. ' " , ,, <br /> <br /> REHARKS: SER?ICE/2CIR/PUNp <br /> DONALD E, wgO~L. EY~ MARION COUNTY ~UtLDIN6 OFFICIAL ~Y .... ~ ...................................... <br /> <br />FORM # MC 15.56 .~. 4f~O OFFICE COPY <br /> <br /> <br />