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~U~NSPECTION <br />· SENATOR BLDG, NO. 225 <br />· 220 HIGH STREET NE <br />~' SALEM, OREGON 97301 <br /> -¢PHO~E 688-$147 <br /> CODE-A-PHONE 4:3,0 P,M. - $:o0 A.M. <br /> <br /> I am cerforming work on a proDerty I own or occupy, <br /> <br /> Other .... <br /> <br /> CATSBORY: <br /> <br />: oocuPAuc¥;RES I 0ENT IAL ' <br /> <br /> ,' ~ONTRACT ~i'ry: UG8: <br /> 210 BUTTE ST NH ~ i <br /> DETROIT NO <br /> <br />PO BOX 452 <br />DETEOfT OR 97942 <br />PHONE,- SITE NUNBER = <br /> <br /> 9375 <br />; TOWNSHIP: V~ATION .* zo~, <br /> <br />MAP: <br /> <br />....... hlO', NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTP~e~'~TOR,. NO. 44248 <br />LICENSE NO. <br />CONEC~f4ER PO~ER INC. <br />P.O.BOX 1180 <br />DMILOIvIATM, OR 97;370 <br />¢HONE: 929-$124 <br /> <br />PER~IT OR APPLICATION NO= 21765 <br /> <br /> ~JPERVISING ELECTRICIAN/NUFE~ER <br /> 3060-8 <br /> <br /> ITEI~ <br />SERV CH~C4GE ONLY-EXISTING RESIDENCE <br />FLEET SURCHAR6E -ZONE ? <br />ELECTRICAL STATE SURCHARGE <br /> <br />gJANTITY AHOUNT <br /> 1 $30.00 <br /> <br /> 1.50 <br /> <br />TOTAL AS~ED FEE8 <br />PEEVI6~$ RECEIPTS <br />THIS RECEIPT <br /> <br />$4O.46 <br /> $0.00 <br />$40.46 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE= CONSUMER PO~ER INC RECEIPT NO= 29074 <br /> RECEZVED BY: P8 .............. . TYPE.* CK CHECK ~: 554 <br />* THIS [$ A VALID PERI'lIT * THlrS= PER~ZT IT~ ISSUE D~.~E. ZF <br />CONSTRtJCTZON CEASES FOR A PER'[OD OF FAILS TO I~¢.t=~ ALL <br />~[RB~ENTS OF ~rATE ~ AND I~R/0N COUNTY BUII.~][N~ ~D ZON[N~ OEDIN~CES, THIS PEI~IIT <br />~ALL BIB~0f4E NULL AND VOID. <br /> <br />RE~ARKS: SERV/CHG R=0~54 <br />DONALD E. ~OODLEY, f4AR[ON COtJNTY BUZLDZNG OFFICIAL / BY ..... ~ ................. <br /> <br />OFFICE COPY <br /> <br /> <br />