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MARION ~;OUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 30? <br /> AUFJf3V i LLE OR 9?325 <br />u~, OF ~UILI~IN~: ........................ <br /> <br />PO BOX 855 <br />AUFESVI LLE 9?325 <br />PHONE= 'Z~9-145~ <br /> <br />AREA: <br /> <br />1ogoo. <br /> <br /> ,~ ./, T E NU/V~ER: 5~68 <br /> <br />~ ............: ........~ .......... Y,.~. ........... :: .... ..: ........... <br /> <br />TYPE: ELEC'FR~CAL PER,lIT OR APPL[CA'r[QN NO: <br /> <br />36204 <br /> <br />CC~T RAC'I'OR, NO. <br />LICENSE NO: <br />G[BSON, OLEI"1'A <br />PO IBOX 855 <br />AUP4~SV I LLE 97~25 <br />PHONE: 749-1464 <br /> <br />SUPERVI.~.NG ELECTRICIAN/NUIVFFJ~R <br /> <br /> il'EM <br />BRANCH CIRC~iT'~ - ONE <br />ELECTRICAL STATE ¢:~JF~2HARG~ <br /> <br />(~LJAN'I'iTY Ar4OUN'? <br /> 1 $35.00 <br /> $1.75 <br /> <br />TOTAL A,SSE~,~ED <br />PREVIOUS <br />THiS RECE[P'¥ <br /> <br />GALANCE DUE <br /> <br />¢36.75 <br /> 36. ?5 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY.- P~ ~YPEt CHECK :I:1;.+ 0 <br /> * 1HI~ I~ A V~ID ~IT ~ TH~ ~IT ~I~ 180 ~ F~ I~ I~E:,~TE. IF <br />~ST~CTI~ ~ FOR A ~%OO OF 180 ~, ~ IF ~T~T/~ FAI~ ~ ~ ALL <br />~I~T~ ~ STATE ~ <br />L 8~ NULL ~O <br /> <br />REhlARKS: 1 <br /> <br />DONALD E. NOODLE¥~ NAR~ON COUNTY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />