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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 />Other , <br /> <br />, AURORA O~ ~70.8~ ' ~NAR~ON 60UNTY~ NO ]. <br /> <br /> ~520 MAPLE 9TREET <br />' HUBBARD ~70~2 DAYTIME 684-4200 SUE SITE HUmBEr: <br /> PHONE: ~81-81~0 VALUATION: <br /> <br /> ~0 87 BF NO <br /> <br />PERHIT oR APPLiCATI'OH HO: <br /> <br />i~ ,T, YPE-- ELECTRICAL 5116B <br />: 'LICENSE NO. <br />:: CO~BB, RICHARD <br /> ~u20 MAPLE STREET <br /> HUBlBARD 970,~;2 DAYTIME ,S~4.-~2~¢ <br /> :::::~: ; HONE. 981-8168 ;:: ~ <br /> ITEM <br /> :: HANUF~CTUREB <br /> ELECTRICAL STATE SURO~RI <br /> <br />.9;~-ia3836 , <br /> <br />SUPERVISING ELE&Fr~IB,[AN/NUMBER <br /> <br /> PAYEE: <br /> RECEIVED BY: MB <br /> Xt THIS IS A VALID PER <br />REQUIREHEHTS OF: <br />SHALL BECOHIr HULL <br /> <br />REMARKS: MH SERVICE <br /> <br /> QUANTITY ANOUNT <br /> 1 $40.00 <br /> $2.00 <br /> <br /> $42.00 <br /> $42,.00 <br /> $0.08 <br /> <br /> $0.00 <br /> <br /> RECEIPT NO: <br /> CHECK ~: 0 <br /> <br />~ROH ITS ISSQE BATE. IF TO ~EET ALL <br /> <br />DONALI) E. W00DLEY, MAR;,r~1I```l~¢~U~T~::::B:Ll~,.;~B;~,,~:,~`!:~¢`~<~'F,~i~;~*~By~,``~'~.~L ...................................................... <br /> <br />FORM # MC 1 ~-~t~ REV. 4NO OFFICE COPY <br /> <br /> <br />