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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 builder OR the authorized rel~resentative <br />of a registered builder. <br />The work wilt be performed by a registered builder. <br />Other .......... <br /> <br />this document, <br /> <br /> SITUS ADDRESS; CONSTRUCTION TYPE: i OCCUPANCY: <br /> 13186 HURRAY LN NE '~o~:r-~Xd~-~i'h4 <br /> AUROF~A OR 97882 MARION COUNTY~ WO <br /> <br /> ~ SITE NUN~EE= 94-G~243 <br />, ....................... PHONE= &7S-32~3 ......... <br /> <br /> WID H; DEPTH: AREA'. ~UNTS RREG LOT ~CORNSR <br /> <br />TYPE= ELECTRICAL <br /> <br />CONTRACTOR, NO. &5650 <br />LICENSE NO: <br /> Tualat'in Electric Inc <br />PO Box 655 <br />Wilsonv~lle. ~7878 :: <br />PHONE: ~82-2755 <br /> <br /> I'rEM . ~. <br />SERVICE/FEEBER LESS ~[IAN <br />BRA~CH CIRCUIT. WITHrSERV. I:~E OR FEEDER':"::: ' . <br />ELECTRICAL STATE <br /> <br /> , ', <br /> <br />PERNlrT OR APPLICATION NO.' 54876 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />'"SSED FEES <br /> <br />QUANTITY AMOUNT <br /> 1 <br /> <br /> $2.90 <br /> <br />PAYEE: <br />RECEIVED BY: XXX <br /> <br /> * THIS ZSA VALID <br />CONSTRUCTION CEASES <br />REQUIRENENTS OF STATE <br />SHALL BECONE HULL AND <br /> <br />$60.90 <br /> <br /> RECEIPT NO: <br />: ~:TYPE. CHECK <br /> <br />ITS ISSUE DATE. IF <br />FAILS TO NEET ALL <br /> <br />RE,lARKS: <br /> <br />DONALD E. <br /> <br />WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-5~ REV, 4/90 OFFICE COPY <br /> <br /> <br />