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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 688-5147 <br /> <br /> Other ___ <br /> <br />DATE: 06/09/89 TIME: 10:35;40,~ <br /> <br /> DOERFLER, ROBERT <br /> <br />SOMMERS I AL <br /> <br /> 12333 SILVER FALLS HNY <br />AUMSVILLE OR <br /> <br />SE <br /> <br /> CONTRACT CITY UGB OCCUPANT I,,OA0 <br /> <br />NARION COUNTY NO <br /> NO OF BEDROOM~ <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br />PHONE: 3?0-9944 <br /> <br /> '16 <br /> <br /> 100.000 <br /> <br /> SITE NUPlBER: 7533 <br /> VALUATION: <br /> RANGE ZONE MAP <br /> <br />8S 1N EFU 46 <br />AC NO NO <br /> <br />TYPE; ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />15592 <br /> <br />CONTRACTOR, NO _ ¢.~'~ / <br />LICENSE NO: 2 y~..~ <br />STOUT ELECTRIC <br />6761NACLEAY RD SE <br />SALE.~ OR 97301 <br />PHONE: 588-707? <br /> <br />SUPERVISING ELECTRICIAN/NUNBER <br />2361S <br /> <br /> ITEM <br />C/I SERV 201-400 AMPS <br />TWO <br /> OR MORE NEN CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AJv©UNT <br />1 $100.00 <br />1 $30.00 <br /> ~3.84 <br /> 6.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$140.34 <br /> $0~00 <br />$140.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: STOUT ELECTRIC 'RECEIPT NO: 17552 <br />RECEIVED BY: DM .................... __ ........ TYPE: CK: CHECK At: 3513 <br />*THZS iS A VAI~ID PERMIT ~ ?THIS:PERNiT,EXPIRES,,18O::<~AYS~,FI:~0M,;ITS I~:~JE DATE. IF <br />CONSTRUCTION CF.A~ FOR A, P~OD,OF 180,,DAYSj OR tF,,C~N~TRUOTION FAILS TO MEET ALL <br />REQU'rREIVtENTS OF STATE ~ AND, t4ARION,:COUNTY BUII.I~ING=,ANDir~ ~aNn ?,:ZONING ORDINANCES. THIS PE~IT <br />SHALL BECO~IE NULL AND VOTIB~ : <br /> <br />REMARKS; 400 AMP SERV/2CIR R~6818 ~'N <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />