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MARION COUNTY BUILDING INSPECTION <br />SSNATOR BLDG. NO. 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 />The work will be perCormed b/ a registered builder <br />Other <br /> <br />DATE <br /> <br />02/05/90 TIME: <br /> <br />NILLICAN, SALLY <br /> <br /> 205 PATTON ST <br />DETROIT <br />USE OF B0~Eb~N~: .... <br /> <br />OR 9?342 <br /> <br /> CONTRACT CITY <br /> <br />........... DETROTT <br /> <br />:~A~LfNG ADDRESS: , <br /> <br />UGB <br /> <br /> NC) <br /> <br /> RESI DENT I AL <br />OCCUPANCY. <br /> <br />SAME <br />PHONE: <br />LOT: 8LOCK. SEOTION <br /> <br />TOWNSHIP <br /> <br />UNIT,S; <br /> <br />SITE NUMBER: 9371 <br /> <br />LOT: <br /> <br />NO <br /> <br />CORNEF <br /> <br /> NO <br /> <br />MAP: <br /> <br />TYPE'. EL.I~CTRICAL <br /> <br />CONTRACTOR, NO. 44248 <br />LICENSE NO: <br />CON~JMER PONER INC. <br />P.O,BON 1180 <br />PHIL~TH, OR 9?370 <br />PHONE: 929-3124 <br /> <br />PEF~IT OR APPLICATION NO: 21762 <br /> <br /> SUPERVISING ELECTRICIAN/NU~ER <br /> 3060-S <br /> <br /> ITEM <br />SERV CH~GE ONLY-EXISTING RES. IDENCE <br />FLEET SURCHARGE -ZONE ? <br />ELECTRICAL STATE SURCHARGE <br /> <br />~JANTITY <br /> 1 <br /> <br />TOTAL ASS~ED FEES <br />:PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> BAL~NCEDUE <br /> <br />AMOUNT <br /> $30.00 <br /> $8.96 <br /> $1.50 <br /> <br />$40.46 <br /> $o.oo <br />$4o <br /> <br />$0.00 <br /> <br /> PAYEE: CONSUt4ER PO~ER INC. RECEIPT NO: 23070 <br /> RECEIVED BY~ PB; TYPE: CK CHECK #: 554 <br /> <br />* ~I8 I8 A VALID ~IT *: :~IS,,:~[T ~I~ 180 ~ ~ I~ I~E ~TE. IF <br />~T~Ia C~ ~R A 180: ~ IF ~EI~ FAIG TO ~[l ALL <br /> ~IS ~IT <br /> OF ~A~ ~ :~D ~I~:~N~ ~:I~i~ ~D Z~IN~ ORDI~, <br /> NULL ~D ~ID. : ' <br /> <br />RENARKS.. SERV/CHG R~t0554 <br /> <br />DONALD E. ~DOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />