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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET Nc. <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5;~',~7 8:00 o 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-?904 <br /> <br />The work will be performed by a re¢istered builder. <br /> <br />ANDERSON PALLET CO. <br /> <br />' O~T~GORY: <br />,COMMEROIAL <br />: OCCUPANCY: <br /> <br /> AURORA OR 97002 ~ ' <br />USE OF BUILDING; <br /> <br /> MAILING ADDRESS'. SU 8D~VISION: <br /> <br />PHONE: <br /> <br />SITE NUHBER: 92~05830 <br />VRLUATION: <br /> <br />WIDTH: <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 4~9~1 <br /> <br />CONTRACTOR, NO. 20919 <br />LICENSE NO: <br /> Bear Electric Inc <br />Po Box ~89 <br />Donald, 97020-0000 <br />PHONE: 678-1~55 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />BRANCH CIRCUIT. WITHOUT SERVICE OR FEEDER - IST CIRCUIT <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> i $55.00 <br /> $1.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$~6,75 <br /> $o.oo <br />$36.75 <br /> <br />BALANCE DUE $0.00 i <br /> <br />PAYEE: Bear Electrtc Inc RECEIPT NO; 46001 <br />RECEIVEO BY: DM2 ................................ TYPE: CK CHECK ~: 9554 <br /> <br />* THIS IS R VALID PERMIT z THIS PERMIT EXPIRES lBO DAYS FROM I~S iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PER~O0 OF I80 DRYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REGUIRENENTS OF STATE LA~S AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SMALL BECOME MULL AND VOID. <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />i ADDITIONAL CIRCUIT <br /> <br /> WOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />