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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />:220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am ~ registered builder OR f, the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other, <br /> <br />this document. <br /> <br />'~-6V'EO' DETROIT 01~ ~734~ ~ETR~T ~O <br /> <br /> 1817 N HOSK~NS ST <br />, NEWBER6 OR 97132 ' S~TE <br />~ PHONE-' 538-~875 ; VRLU~T~ON= <br /> <br /> W~TH'. t6~TH ~EA: fU~ ~EG LOT: ' ~S~ER. leu <br /> <br />TYPE~ ~RIC~M. <br /> <br />COHTRACTOR, NO. <br />LICENSE <br />ALLEN, RICHARD & FLORA <br />1817 H HOSKINS ST <br />NEWBERg OR 97132 <br />PHONE: 538-9875 <br /> <br /> iTEM <br />SERVICE/FEEDER LESS TH~N <br />~RANCH CIRCUIT. gZTH SE~V~E:OEFEEDER <br />ELECTRICAL STATE SURCHARGE~ =' · :: : <br /> :::: <br /> <br />PERHIT ~R ~PPLIC~TIOH H~: 57768 <br /> <br /> SUPERVISINg ELECTRICIAN/NUMBER <br /> <br />QUANTITY <br /> <br />PAYEE: ~' ':': : RECEIPT NO: <br />RECEIVED BY: DF :: : ':'~':: :TYPE: CHECK <br /> <br />AMOUNT <br /> <br /> $4,00 <br /> $2.78 <br /> <br /> $56.78 <br /> $56,78 <br /> <br /> $0.~0 <br /> <br />REMARKS: SER, 2 CIR <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />