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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 8 registered buiD4er OR ( ) the authorized representative <br /> <br />The work will be performed by a registered buitder, <br />Other <br /> <br /> TYPE; OCCUPANCY: <br />V~L.UATZON~ <br /> <br />TYPE: ELECTRICAL <br /> <br />(;t.)l,!; I,,;,A.,,3 ~ <br /> <br />l,J ~]...]:: :~ CARL <br /> <br />SUPER'~¢IS; NC; E;._ECiTi:~iC':Z~N/NLIH;BER <br /> <br />gURN'T ];~Y A5OtJI,~T <br /> <br />$65. :1.0 <br />~6, ,, <br /> <br /> * THIS IS A VALID PE;~M~T $ THIS PERiiIT EXPIRES' 188 ~)AYS F~Ol~ IfS ISSUE BATE. IF <br /> <br />REQUIREMENTS 9F STATE LAWS AND ~ARION COUNTY BUILBING ANB ISLING ORDiNA~SES,. THIS PER~IT <br />SHALL BECOME MULL AHB <br /> <br />.).}1' rL..~. !::.,. {JC?'J~)LJ?,, H¢~'rc,'rC <br /> <br />FORM # MC 15-56 REV, 4/~0 OFFICE COPY <br /> <br /> <br />