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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OIREGON 97301 <br /> <br /> PHONE: 588-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own o¢ <br />l am a registered builder OR ( )theauthorizedrepresentat~ve <br />of a registered builder, <br />The work will be pedormed by a registered builder, <br />Other. <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> DA'rE; 05/25/98 ;riME: 1¢;]9;32 <br />OWNER: <br /> <br /> KEUOELL, ~ENDELL <br /> <br /> 11115 BEAN ALLEY RD <br /> AUIV~WILLE <br /> <br />USE OF B01LDING; ' <br /> <br />CONSTRUCTION TYPE: <br /> <br /> OR 9?325 I , , ., .. ~ <br />...................... :,¢4AR i. ON- C(X,[N f Y ~ NO <br /> <br />MAILING ADDRESS: <br /> <br /> SAME : <br /> (FILE & CARD ALREADY IN~AOE) <br /> Pl~ONE: ?49-204? S.~'1'E NU~ER: <br /> VALUAT t~: <br /> <br />W~DTH: O6PTN: ~REA: ~ UNIY~: ' IRREG. LOT: : C0~ER: <br /> <br />CATEGORY: <br /> C01¢¢4ERC l AL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />10 '. AC NO, <br /> <br />2323 <br /> <br /> EFU <br /> <br />NO <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL <br /> <br />CON'I'RAC'I'OR, NO. 45933 <br />LICENSE NO: <br />PACIFIC COAST ELEC.,INC. <br />P-O- 8OX 651 <br />~f'AYTON, OR 9?383 <br />PHONE~ 769-7671 <br /> <br />PER~i'F OR APPLICA'r2ON NO: 24367 <br /> <br /> SUPERVISING ELEC'T'RiCiAN/NU~BER <br /> LEONARD MYE~ <br /> <br /> lI'O~ <br />iRRiGATION PUMP <br />FLEEI' SURCHARGE -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE; PAC[P'IC COAST ELEC.,INC. <br /> <br />QUAN'T'I 'fY ANOUN'I <br /> $30-00 <br /> <br />'I'O]'AL.AB~E~ FEES <br />pR~c'iOU~REOEiPT~ <br />THiS RECEIPT <br /> <br /> $o_o0 <br />$36.82 <br /> <br />BALANCE DUE <br /> <br />RECEIVED BY: PR <br /> <br />RECEIPT NO: 25821 <br />OK CHECK ~: 4~09 <br /> <br /> 'THIS I~ A VALID PER~IT * THIS PEF~IT EXPiEE~ ~80 DAY~ FROM ITS I~E ~TE. IF <br />~ST~CTI~ C~ ~R A ~iOO OF 180 ~; OR [F'~ST~CTi~ FAI~ TO ~EET ALL <br />~IR~TS OF STATE ~D ~RI~ ~NTY 8UiLOiNG ~D Z~ING ORDIN~C~. THIS PE~iT <br />~LL BEdE NULL ~D ~IO+ <br /> <br />REFLARKS: IRR Pf,'lP R~244] <br /> <br />DONALD E. WOODLEY, MARION OOUNI'Y BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />