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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGOi~9?301 <br /> <br /> PHONE: 588-51'47 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR( )the authorized representative <br />of a registered builder. <br /> <br />Other <br /> <br />this document, <br /> <br /> I)A'~E>,~ 1.2/:1.0/9;~ "F]'Ki'_']'.' _4..,~_...,¢¢ <br />r OW~i~Ri ,"'~Ak'iZ)¥1 ~f~O~'¢; ~ <br />~ ]'*~..~,, ]:~OE~ER'T' 'THE I".~....ZA F'ET~D~ E~ ~ _,OMMI.,CI~L ~ <br /> <br /> ~glL'~i'~; ........................................................................................................ <br /> <br />SITE NUt~BER: <br />VALUATION: <br /> <br />PO BOX 109 <br />AUMSVZLL.E: OR 9732'."5 <br />i:> Fit] N E: 749 -- 4 g' 1 ~'] <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION NO: 51775 <br /> <br />[',OI,1Ti:;'.ACTC'R,~ I.K],, SUPE]~(VISING ELEC'FRICIAN/I,IUMBER <br />L]]i;E:'NSE i'tO~ <br />M..A, ,d)[4LRT 'THE; F'IZZA PE~DL. ER <br />J-~ SLX ~09 <br />AUMSVILLE OR 97325 <br />F'H[)NE ~ 749--40I~ <br /> <br /> :f; 'FE~ <br />BRANCH CZRCUZT, WITHOU'T SEF(V]]CE E,R FEEgER - :LST CIRCUIT <br />OF:AI~CH (~:[R(]~]:T:, W~I'H~L~-F SERVICE Oh FEEOER ,,q(,,H ASDITIONAL <br /> <br /> TOT&L ~SSESSED FEES <br /> PREVIOUS RECEIPTS <br /> T H '.~: S ;;ECE IPT <br /> <br />QUANTITY AN0tJNT <br /> 1 $S5. ~0 <br /> <br /> $1.95 <br /> <br />$4[4,, 95 <br /> $0. (,10 <br />,I~4(~, .. 95 <br /> <br /> ..E[,l_lVl.:.}) ~.Y DH,, , .................................................................................. )YrJ:. ;IN CHECK ~: <br /> ~ THIS IS A VALID PERMIT * THIS PER~IT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION gEASES FOR A PERIOD OF 18~ DAYS, OR' IF CONSTRUCTIQH FAILS TO ~EET ALL <br />REflUI~EMENTS OF STATE LAWS ~HD MARION ~OUNTY BUILDIH6 AND ZONING ORDINANCES~ THIS PERMIT <br />SHALL BECOME NULL A~tD V0tD. <br /> <br /> g']Nhl ~) E. 000DLEY., MAR;(gN COUNTY BU!LDT]4g OFF]]CZAL %:BY .............................. "..~._..___... <br /> <br />FORM *~ MC 15-56 REV, 4/t~ OFFICE COPY <br /> <br /> <br />