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MARION COUNTY BUILDING INSPECTION <br />.. SENA*rOR BLDG.~NO, 225, <br />220 HI6iH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />DATB: 03/'14/90 TfME: 15:41:06 <br /> TABELLE, DON <br /> <br />RESIDENTIAL <br /> <br />10766 BUTTE ST NE <br /> ~RI~ ~N~ NO <br /> <br /> PHONE: 625-5028 <br /> <br />LOT: BLOCK: SEO¥ION: TOWN$HIP: <br /> <br /> 120 100 12000. <br /> <br /> SITE NUttiER ,'- 368"/ <br /> VALUATZON: <br /> <br />3S 1N AR <br />SF NO YES <br /> <br />TYPE: ELECTR~OAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />TASELLE, DON <br /> <br />PERMIT OR APPLICATION NO: 9022478 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MO~ILE HONE CONNECTION <br />FLEET ~JRCHAF~E -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> .: (~)UANTITY <br /> <br />eALANCE ~JE <br /> <br /> ................ ¢ -- '"'"" 7~"'" ....... ""'" "' -- ......... <br /> ~ THIS IS NOT A PER~IT. <br />FOLLONIN~ MUST BE <br />~LL NEI2E!~ARY INFORI~ATION <br /> <br /> PLAN REVIEN: BY <br /> <br /> REICC, RKS: ~ CCNN F~3887 <br /> <br />AMOUNT <br /> $25.00 <br /> $7.68 <br /> $t .25 <br /> <br />$33.93 <br /> $0.00 <br />$33,93 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 23829 <br />TYPE: CK CHECK ~t: 733 <br /> <br /> OF:::~E APPLICANT TO A,.~tlRE THAT <br /> <br />CZ~ jURISDICtION: BY <br /> <br />FORM # MC IB.S6 ReV 11/8~ OFFICE COPY <br /> <br /> <br />