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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8.00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWNER 'fAX LOT <br />WZLDER, ~AF~_IEL <br /> <br />40921-000 <br /> <br /> 20421BC,'ONg~ FERRY RO <br />AURORA OR <br /> <br />97002 <br /> <br />NE <br /> <br /> CONTRACT CITY UG~ <br />~4ARi ON C'Y~JN I Y NO <br /> <br />RES,[ DEN f IAL <br /> <br />PHONE: 878-1794 SlIE NUMBER: 11235 <br /> VALUAI' ION: <br /> <br /> 22 4S 1N EFU 5 <br /> ?. ~ NO NO <br /> <br />TYPE: ELECIR[CAL <br /> <br />~.,~N f RACTOR ,. NO. <br />LICENSE NO." <br />N,[LI3ER, SAMUEL <br /> <br />PHONE: 6'18-1794 <br /> <br />PERf~ll' OR APPLiCAI[ON NO,; 28983 <br /> <br /> f~JPERV [ SING EL~C f RIC ~AN/NUf~BER <br /> <br />BP.~NCH CIRCUIfS ~ Tm 10 <br />ELEC1RiCAL SI'ArE SLIRfJHA~¢E <br /> <br />(~UAN'IJlY AFBUNf <br /> 1 $50.00 <br /> <br />TOTAL NS.Sf::,W~ED <br />PREVIEYd$ RECEiP%S <br />THIS RECEIPT <br /> <br />52.50 <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECglVg[) BY: PB tYPE= CHECK ~: 0 <br /> <br />~ TH[S IS A VALID PE~I[T · THIS PER~[T EXPIRE~ lB0 DAYS FRO~I iT~ I,~SUE DATE. [~ <br />CONSrRucfZON CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO ~EET ALL <br />REQUJRI~IENTS OF ~TATE L. AN~ AND FtARiON COUNTY BUILDIN~ AND ZONIN~ OROJNANCE8, TH,[8 PER~[T <br />SHALL B~E NULL AND VOID. <br /> <br />~ENARKS: CIRCUiFS R~3053 <br /> <br />bYDNALD E. NOOOLEY, ~ARJON COUNIY 8U,[LDJN6 OEPIC,[AL / BY ~ <br /> <br /> OFFICE COPY <br />FORM # MC 1556 R~ 4~0 <br /> <br /> <br />