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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE $88-~'147 ~ <br /> CODF-A-PHONE 4:30 P,M, - 8:00 A.M. <br /> <br /> The work will be performed by a registered builde <br /> <br /> DATE: 09/09/8? TIME: 2-+03;45p <br />OWNER: NORTH MARION MIDDLE SCHOOL <br /> <br />TAX LOT; CATEGORY: <br /> <br /> 20246 GRIM ROAD NE I ; <br />ALIRORA OR i d'6~R~6¥"~ifv; !'UG~ ,OCCUPANT LOAD: <br /> MARION COUNTY i NO ] <br /> <br /> PHONE: <br /> <br />LOT: :BLOCK: <br /> <br /> SITE NUMBER: 2464 , <br /> VALUATION: <br /> <br />~ASf,SN: !~Ew'~;~'i~i i~ RANGE: T, ZbN~ <br />i AREA: <br /> <br />:WIDTH: DEPTN: IUNIT$: i IRREg. LOT: NO iCOR~; <br /> <br /> TYPE: ELECTRICAL PERMIT: O~ APPLIC.ATION NO.* 4244 <br /> ¢ONTRACTOR NO. ~28~ SUPERVISING ELECTRICIAN/NUMBER <br /> L~CENSE NO; NM, ENGEU~AN <br /> <br />ENGELMAN ELECTRIC <br />P.O. SOX 45! <br />HUSSARD. OREGON 97032 <br />PHONE;: 981-804~ <br /> <br /> ITEM QUANTITY ~ AM, OU[~T <br />TWO OR MORE NEW CIRCUITS:AL.7 OR EX'T 1 ,~A' <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL. STATE ~HARGE ,~ .~F~ ~;;, 00 <br /> <br /> %NZS RECEZ PT <br /> <br /> BAL,~ DUE , $0, O0 <br />PAYEE: ' '~ ~ RECEIPT NO: <br />RECEIVED BY: DM <br /> <br />~_~U/Z~ C~ FOR A PER~OD OF~,~80 ~., OR,I,~,~OT~ FAI~ TO ~E~ AL~ <br />~Z~ OF STATE ~ <br />~ALL ~b~E NULL ~D ~ZD. <br /> <br />REMARKS: 2 <br /> <br /> JIAL.F.) E. NOODL. EY, <br /> <br />¥.~,RIOI~, COONTY BUILDING OFF~'CIAL /, B'¥ <br /> <br />FORM /t MO I 5-58 R~V 6/87 OFFICE COPY <br /> <br /> <br />