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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 ~ registered builder, <br />The work wil~ be performed by a registered builder. <br /> <br />OWNER; .... TAX LOT; ' CATEGORY'. <br /> SHIT'H, STAN ! RESIDEN'rlAL <br /> <br /> 265 BOULDER CONTRACT CITY; UGB'. <br /> <br />' MAILING ADDRESS; <br /> <br />PHONE= 854=~377 <br /> <br />SITE MUHBER~ 93-~2653 ~ <br />VALUATION: <br /> <br />/ , : NO r NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO,, 459~3 <br />LICENSE NO: <br /> Pacific Coas~ Electric t~c <br />PO Box 651 <br />Stayton, 9738~-000~ <br />PHONE: 769-7671 <br /> <br />PERMIT OR APPLICATION NO: 48841 <br /> <br /> SUPERVISING ELEL~RICIAN/NUMBI:R <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 280 AHPS <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: Pacific Comst Elec(rJd 'Inc <br /> <br />TOTAL. ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS'.RECE~PT <br /> <br />QUANTITY AMOUNT <br /> 1 <br /> <br />$52.50 <br /> <br />BALANCE DUE $0.00 ,' <br /> <br /> 5;L537 <br /> RECEIVED DY: DN2 TYPE: CK CHECK ~: 657? <br /> ~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES lSD BAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD, OF 180 DAYS, OR'IF CONSTRUCTION FALLS TO NEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERHIT <br />SHALL BECOME NULL AND VOID. <br /> <br />RECEIPT NO: <br /> <br />REMARKS: I~ELOCATE HETERBASE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15.56 REV'. 4/~0 OFFICE COPY <br /> <br /> <br />