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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 588-5147 <br />CODE-~-Pt.,IQ.~E 4:,30 P,M. - 8:00 A,M, <br /> <br />lamaregisteredbullderOR( ) the authorized representative <br />The work will be performed by a registered builder, <br /> <br />this document, <br /> <br />SITUS AOI:;I~F, JOHN <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: RESI DENT IAL <br /> <br /> ', CO~fRACf <br /> 200 SANTIAN AVE <br /> <br /> DETROIT NO <br />MAI LING ADDRESS: <br /> <br />LOT: : BLOCK: <br /> <br /> SITE NU~'BER = 9373 <br />;B~CTiON: ',"Tb~;~R'i¢i i V~ATTON: ZOhE: MAP: <br /> <br /> AREA: UNITS: ; i~R~G, ~0T: ' CORNER: <br /> -: NO NO <br /> <br />TYPEt ELECTRICAL <br /> <br />CONTRACTOR, NO. 44248 <br />LICENSE NO: <br />C~NSU~ER PO~ER INC. <br />P.O.BOX 1180 <br />PHILOMATH~ OR 97370 <br />PHCNE: 929-3124 <br /> <br />PEF~IlT OR APPLICATION NO: 21764 <br /> <br /> ,.GUPERVISING ELECTRICZAN/NUMBER <br /> 3060-$ <br /> <br /> ITEN <br />~ERV CHANGE ONLY-EXISTING RESIDENCE <br />FLEET SURCHARGE -ZONE ? <br />ELECTRICAL STATE E~URCHARGE <br /> <br />PAYEE; CONSUMER PONER INC. <br /> <br /> QUANTITY ANOUNT <br /> 1 $30.00 <br /> $8.96 <br /> $1.50 <br /> <br />~OTAL:ASSESSEDFEES <br />PREVIOUS'RECEiPTS $0.00 <br />TH[S:!RECEIPT $40.46 <br />:BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br /> <br /> 23073 <br /> RECEIVED BY: P8 .... : TYPE: CK CHECK ~: 554 <br /> <br /> 'THIS IS A VALID PERI'IT *: 'Pti:IS 'PEI~CIT 180 :DAYS IT~ IS,-e~E DATE. IF <br />CONSTRMC'rlr0N CEASE~ FOR A IPI~ZOD O~ 180' DAYS, SE ,rE CXDI~'T~ICH FAI~-~ TO MEET ALL <br /> ~iS ~IT <br /> ORDIN/~IC~. <br /> <br />R~RKS.* SERV/CHG R=0554 <br /> <br />DONALD E. NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ,t MC I5 !~f; REV e/~ OFFICE COPY <br /> <br /> <br />