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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: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am performing work on a pr0perty own or occupy <br />I am a registered builder OR the authorized represen ave <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other, <br />1 have dead and egree to the terms stated on the reverse side of <br />this document. <br /> OATH: 09/21/92 TIME: 8:46:02 <br /> <br /> CONSTRUCTION TYP~: <br /> <br />; OCCUPANCY: <br /> <br /> 20621 H~Y 99E NE <br />AURORA OR 97002 i¥i~l~8~ ~L~h(~'Vil'~; ,iOCODPANT LOAD: <br /> <br />SAHE <br /> 9~TE NUMBER: <br />PHONE: 678-2580 V~LU~TZON: <br /> <br />TYPE= ELECTR[CRL <br /> <br />CONTRACTOR, NO. 50829 <br />LICENSE NO: <br /> J R Electric <br />PO Box 266 <br />Hubbard, <br />PHONE: 981~5913 <br /> <br />PERMIT OR APPLICRTION NO: 42680 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEOER LESS THAN 200 AMPS <br />PUMP OR IRRIGATION CIRCLE <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $50.00 <br />1 $40.00 <br /> $4~50 <br /> <br /> TOTAL ASSESSED FEES $94.50 <br /> PREV OUS RECEIPTS $0.00 <br /> . ;~NIS..:RECEIpT: $94~50 <br /> <br /> $o.oo <br /> PAYEE: J R Electri~,n RECEIPT NO: 44743 <br /> RECEIVED BY: mb :~_~I~_~_..._~L': : _~ TYPE: CE CHECK ~: 5367 <br /> ....................... 7::~::==~_:==:==:::::::=_~_~ ..................................... <br /> <br />* TH OWLID FRO. ITS IOOU IF <br />CONSTRUOTION CEASES FOR] A::DERiO00F,'[BO"DAy~f OR iF ~ONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LA~S AND MARION COUNTY DUILD[N~::AND ZONIN~ OROINANOES, THIS PERMIT <br />SHALL BECOME HULL AND VOID. <br /> <br />REMARKS~ 200AMPS 1/PUMP <br /> <br />OONALO E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />po.r~ ~ uc ~,~. Rev, ~ OFFICE COPY <br /> <br /> <br />