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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 />~ am a re~istered builder OR the authorized ep esen a ye S ~NATURE OF APPL CANT; <br /> <br />:OWN~n: ~ATE;~ 0 /:t4/9,~ ' "" o';,. '~ <br /> MCLAUL,;HI.,AN ~ ROBERT RESIDENTIAL <br /> <br /> 1~679 STAYTON R]~ SE ~O~ITRACTCITy; : C~Bi O~OUPANT LOAD: <br /> AUM,~VILLE OR 97325 MARION COUNTY NO <br /> <br />MAILING AODRESS: SUBDiViSION: <br /> <br /> SAHE <br /> SITE NUNBER: ~3-02458 <br /> PHONE: '76~)-,~124 VALUATION: <br /> <br />WIDTH: A'~ ..... S ....... ~ ~0 <br /> <br />TYPE: ELECTRICAL <br /> <br />CUN'fRACTOR~ NO. <br />LICENSE NO: <br />NCLAUGHLAN, ROBERT <br />SANE <br /> <br />PHONE: 769-3124 <br /> <br />PERHIT OR APPLICATION HO: 984998~ <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> Il'EH <br />NANUF'ACTURED HOME SERVICE/FEEDER <br />SERVICE/FEEDER LESS THAN 208 AMPS <br />ELECTRICAL STATE SURCNARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE QUE <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br />AMOUNT <br /> $40.00 <br /> $50.08 <br /> $4.50 <br /> <br /> $94.50 <br /> $0.00 <br /> $94.50 <br /> <br /> $0~00 <br /> <br /> PAYEE== ...... MCLAUGHLAI%. ROBI~I' RECE]'PT.,, NO: "'~'"'o~2ou <br /> RLCEIVEQ BY,, MB '~zCj/~.~/~ TYPF- nW m4rP~ &. -~'~ <br /> ....................... ~-~===zzzzz=:=zzzz;;===:==::= .... :~SS-SZ-~$~SSS_SS .......... 2~Z~ ........... <br />$ THIS IS HOT A PERMIT. THIS APPLICATION HOST ~rO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLET£~. IT I$ THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br /> PLAN REVIEW: BY ~ QAT~_ CITY JURISDICTION: BY BATE <br /> REMARKS: HS SER, FEEBER <br /> <br />OFFICE COPY <br /> <br /> <br />