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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 performing work on a property I Own or oooupy. <br />I am a registered builder OR the authorized representative <br />of a registered builder, <br />The work wil~ be performed by a registered builder, <br />Other <br /> <br />this document, <br /> <br />~ t)L, lLOI ( OR 9754~ <br /> <br />GOl..~) ]:JEACH OR 97444 <br />PHONE:: ~.47-.'7366 <br /> <br /> OCCUPANT LO^O: <br /> <br /> CREEK <br /> <br /> HUf'IBER: 94-~0129 <br />VALLJA'F ION= <br /> <br />6 <br /> <br /> 2 10 I 5 E R'S <br />;L65 244 ' NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CON'fRACTOR,~ NO,, <br />L]:CENSE <br />WHIll,.,f F~AIqC'rS & I.~TR~C_A <br />30436 DRIFTWOOI) DR <br />GOLD BEACH OR 97444 <br />PHONE= 247-"7;~46 <br /> <br /> ~TEM <br />MAN~?AC'[URE~ HOM~ <br /> <br />P h Y E E: <br /> <br />PER~IT OR APPLICATION NO: 9852488 <br /> <br /> obFEB¥1....[N6- ELE. C ~ I~IAN/NtJ~I.I( <br /> <br />Q[JAN'T:r TY AML) UfY'f <br /> $2.08 <br /> <br />$42.00 <br /> ¢0,,~)0 <br />$42.00 <br /> <br />RFCEIF'T NO: 5486~,, <br />CHECK q~: 0 <br /> <br />REVIEW PROCESS WHERE THE <br /> APPLICANTTO ASSURE THAT <br /> <br />BY ........................ I)A'f'E ....................... <br /> <br />FORM # MC 1 ff*.56 REV, 4/80 OFFICE COPY <br /> <br /> <br />