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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-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other.__ <br /> <br />~6~'1~1~ 01/30/90 TiI~; 74:58'.11' <br /> <br /> HOI~ARD, MARK MACHINE A WELDING <br /> SITUS ADDRESS: <br /> <br />: TAX LOT'. <br /> <br /> CONSTRUCTION TYRE: <br /> <br />CATEGORY: <br /> <br /> COJV~ERCI AL <br /> <br /> 140;2 NILLON LAKE RD <br />SALEM OR 9?303 <br />USE OF BUILDING; <br /> <br />NE CONTRACT CITY: UGB; <br /> <br />i suB0iv~s~o~i <br /> <br />SANE <br /> <br />PHONE+. 390-6669 <br /> <br /> LOT: BLOCK: <br /> <br />SITE NUMBER: <br /> VALLIAT I{~N = <br /> R~NGE: <br /> <br />9332 <br /> <br />MAP: <br /> <br />,WIDTH: DEPTH: AREA; <br /> <br />IRREG. LOT: <br /> <br /> NO <br /> <br />CORNER: <br /> <br /> NO <br /> <br />TYPE: ELECTRICAL <br />C(~NTRACTOR NO. <br /> <br />ALBANY, OR 97321 <br />PHONE: 928~8488 <br /> <br />322 <br /> <br /> ITEM <br />C/I SERV 101-200 ANI:~ <br />FLEET SURCHARGE -ZONE 1 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PEI:~I~T OR APPLICATION NO~ 9021813 <br /> <br />SUPERVISING ELECTRICIAN/NUNBER <br />RICHARD L MORSE, St2218S <br /> <br /> (~JANTITY <br /> 1 <br /> <br />TOTAl_ ASSESSED FEES <br />PRE-v"r OUS RECEIPT~ <br /> <br />~NT <br /> $70. O0 <br /> [1.28 <br /> $74.78 <br /> $0,00 <br /> $o.oo <br /> <br /> $74.78 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY= P8 ' TYPE~ CHECK St: 0 <br /> <br /> E CI~iPLETED:. I8. trHE: ;~iBILITY OF THE APPLICANT TO ASSUEE THAT <br />AlL NECESSARY INFORmaTION HA~;BEEN PROVIDED. , , <br /> <br />PLAN REVIEW: 8Y <br /> <br />REMARKS,+ 200 ANP BAL DUE <br /> <br />DATE <br /> <br />CITY i JURISDICTION t BY ............. DATE <br /> <br />~<~.M ~ Mr~ ~* ~, "tV ¢/.7 OFFICE COPY <br /> <br /> <br />