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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::588-5143 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICAN/ <br /> <br /> I am a registered builder OR the authorized representative <br /> of a registered builder, <br /> The work will be performed by s registered builder, <br /> Other <br /> <br /> this document. <br /> DATE: 11/3`8/~)2 TIHE: 3.0:50:08 <br />iOw~" KLEIN, LARRY <br /> A~S~ .................................... <br /> <br /> 9804 MILL CREEK RD <br /> <br /> ~ FLOODPLAIN <br /> <br /> VALUATION: <br />PHONE: 749-2405 <br /> <br /> 33. I 83 1W . EFU : 48 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />~ohn A Speer <br />10764 Mill Creek Rd <br />Aumsville, 97325-0000 <br />PHONE: 749-2971 <br /> <br /> ~TEH <br /> <br /> PERMIT OR APPLICATION NO: 4~957 <br /> <br />03964 SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> QUANTITY AMOUNT <br /> BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - 15T CIRCUIT 1 <br /> BRANCH CIRCUIT, WITHOUT SERVICE OR FEEDER - EACH ADDITIONAL 3 $6.00 <br /> ELECTRICAL STATE SURCHARGE $2.05 <br /> TOTAL ASsEssED FEES $43.05 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $43.05 <br /> :BAL,~NCE OOE <br /> PAYEE: John? Speer RECEIPT NO." 46028 <br /> <br />* TI,lIS IS A VALID PERHIT *: THI~ PERHII' EXPIRES 180 DAYS PROH ITS ISSUE DATE. IF <br />CONSTRUCT[ON CEASES FOR A PERIOD 0F'180 DAYS, OR IF:CONSTRUCTION FAILS TO HEET ALL <br />REQU]'REHENTS OF STATE LA#8 AND MARION COUNTY BUI:LDING AND ZONING ORDINANCES, THIS PERI,lIT <br />SHALL BECOHE NULL AND <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />4 CIR FOR WALK IN COOLER <br /> <br />WOODLEY, MARION COUNTY BUILDING OFFICIRL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />