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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 />I am a registered bviJder OR ( ) the authorized representative <br />The work will be performed by a registered builder. <br /> <br /> MASCFIK~:., L.~S & BETTY ~. 7~551-261 RESIDENTIAL <br /> <br /> AURORA OR 97~2 : MARION COUNTYi NO <br /> , <br /> <br /> 2281 N MENZIES DR <br /> PORTL. AND~ OR 97217 MOBILE 799-1158 SITE HUHBER: <br /> PHONE: 289-6962 VALUATION: <br /> <br />:~'iO~N'. ~DE~TH', AREA'. ;' UN T~'. ~ RREG LOT <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRAC, TOR,~ NC). <br />L]:CENSF N0: <br /> J R Electric <br />PQ Box 266 <br />Hubbard~ 97~2-0000 <br />PHONE: 981-391~ <br /> <br /> ITEM <br />HANUFACTURED NOME SERVICE/FEEDER <br />BRANCH CIROUIT~ WrrH SERVICE OE ~EE~E~ <br />ELECTRICAL STATE SURCHARGE <br /> <br /> PERMIT UR APPLICATIOM NO: 48844 <br /> <br />50829 SUPERVISING FLECTF(ICIAN/NUMBE:R <br /> <br />QUANTITY AMOUNT <br />1 $40.00 <br />i $2.00 <br /> $2.10 <br /> <br /> TOTALASSESSEBFEES $44.:1.0 <br /> RECEIPTS $44.10 <br /> : THIS RECEIPT'' $0.00 <br /> : ": $0.oo <br /> PAYEE: ::: RECEIPT NO: <br /> RECEIVED BY: DM2 CI-IECK ~: 0 <br /> <br /> ~ THIS IS A VALI9 PERNIT:~ ~AYSiFRS. iT~ ISSUE ~ATE. ~ <br />CONSTRUCTIOH CEASE~ FOR A::PERIO'9 ~F180 BAY~, OR IFC0~STR~CTION FAILS TO MEET ALL <br />REqUIREMEnTS OF STATE LA~S AM~ HARI§N"CDUNTYBUIE~IN~AH~ ZONINg ORDINANCES, THIS PERMIT <br /> <br />SHALL BECOME NULL AND VOI~. <br /> <br /> REMARKS: MS SER & :L cir for carport <br /> <br />DONALD E. UOODLEY.~ MARION COUNTY BOILI)~ME OI-"'Fii]:~):AL / BY <br /> <br />FORM # MO t6.56 REV, 4t9~ ;OPY <br /> <br /> <br />