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MARION COUNTY BUILDI~4'G INSPECTION <br />SENATOR BLDG, NO. 228 <br />220 HIGH STREET NE <br /> SALEM 'OREG~ON 97301' <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P,M. - 8;00 A.M. <br /> <br />I am performing work on a property I own o¢ occupy. <br />lam a reDisteredbuilderOR( ) the authorized representative <br />of a registered builder, <br />The work wUI be performed by a reDistered builder, <br />Other .............. <br />I have read and agree to the terms stated on the reverse side of <br />this document <br /> <br /> DATE: 09/01/87 4-; 13 ~ 1.5~ , <br /> NORTH MARION HIGH SCHOOL ~ : R <br />SITUS AODRESS; i CONSTRUCTION TYPE: ; OCCUPANCY: <br /> <br /> 201~? GRIM ~0AD NE ~OONTRACT CITY'. U~D: ~OCCUPANT COAD: <br /> AURORA OR : <br /> <br />MAILtN~ ADDRESS: <br /> <br /> PHONE: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />TYPE.* ELECTRICAL <br /> <br />CONTRACTOR, NO. 6281 <br />LICENSE NO: <br />ENGELMAN ELECTRIC <br />P.O. 8OX 4.51 <br />HUBBARD, OREGON 9?032 <br />PHONE: 981~8041 <br /> <br />PERMIT OR APPLICATION NO! 4108 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> WM_ ENGEL,N~N <br /> <br />TNO OR MORE NEW CIRCUITS~ALT OR EXT <br />FLEET SURCHARGE -ZONE 8 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $20,00 <br /> $?.~8 <br /> $1.00 <br /> <br />]".':TOTAL;ASSESSES;FEES <br />PREV,IdUS.RECEI~%S <br />~I$, ~ECEIPT <br /> <br />$28,68 <br /> $0.00 <br />$28~68 <br /> <br />PAXEE; ENGELMAN ELECTRIC ' ' ' ~CEIPT NO; 4662 <br />REvEIVED BY: DM ,,~ =;~__=j TYPE: C~ CHECK ~: 860'7 <br />. A ...... <br />CONSTRUCTION CEASES FOR A PERIOD~ OF, 180: BAYS,. :OR IE?:CQNST,I~CTI:CN FAILS TO t4~ET ALL <br />REQUIREMENTS OF STATE LANS AND NARZ0N,,,COUNTY BU[LD~NGit,AND,:ZONING ORDINANCES. THIS PE~4ZT <br />5HALL BF_J:ONE NULL AND VOID. , :: <br /> <br />MARION COUNTY B~ILD[NG 0FF~:CZAL/BY' <br /> <br />REMARKS: 2 CIA <br /> <br />DONALD E. WOODLEY, <br /> <br />.O.M ,, MC ,~-~. ~v e/~ OFFICE COPY <br /> <br /> <br />