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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDJ2;.,.~O~225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. ~ 8;00 A.M. <br /> <br />of a registered builder, , <br />The work will be pe[formed by 3 registered builder, <br /> <br />[~/~ 01/25/90 TIME: 13:47:38 <br /> <br /> 11373 MILL CREEK RD -- <br /> ~RI~ C~NTY NO <br /> <br />PHONE: 769:77~4 <br /> <br /> CATEGORY: <br /> <br />OCCUPANCY: RES I DENT I AL <br />iOCGgPA~T LOAD: <br /> <br />.......... '~ $I .T..E. NUMiBER: 9288 <br />SECT ON: TOWNSHIP; i ~A'~AT I ON: ZONE.. <br /> <br />' AREA: UNi~: iRREg, lOf'. COR~E~: <br /> <br />MAp; <br /> <br />TYPE,: ELECTRICAL <br /> <br />CONTRACTOR, NO_ 45933 <br />LICENSE NO; <br />PACIFIC COAST ELEC+.INC. <br />P.O. BOX 651 <br />STAYTON, OR 97383 <br />;:~ONE: 769-7671 <br /> <br />PE~IT OR APPLICATION NO: 21448 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> LEONARD NYERS <br /> <br /> ITE~ <br />MOBILE HONE SPACE(SVC EQUIP) <br />FbEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AFE~NT <br /> 1 $25.00 <br /> $3.84 <br /> $~.25 <br /> <br />TOTAL A,,S~ESSED FEES <br />PREVIOUS RECEIPTS <br />l¥1IS RECEIPT <br /> <br />$30-09 <br />$30.09 <br /> $o.oo <br /> <br />8AL.~4CE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RECEIVED BY: PR , ___ :~ ' TYPE: CHECK ~t: 0 <br /> <br />* THIS IS A VALID PERf4IT ~ 'THIS PE~I~f EXPIRES 180 ~ f~ ITS X~E ~TE. IF <br />~ST~I~ C~ FOR A P~IOO OF 180 ~, ~ iF ~I~ FAI~ TO ~EI ALL <br /> OF STATE ~ ~D ~RI~: ~N~ ~ILDi~ ~D Z~ING <br /> ORDIN~C~, <br /> NULL ~D <br /> <br />RENARKS: REPLACE EXISTING SERVICE R~6782 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL /BY <br /> <br />FORM "MC, ,:lSq REV 8/87 OFFICE COPY <br /> <br /> <br />