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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHOI~E: 588-5147 8:0o - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8m performing work on a property I own Or oooupy. <br />lamaregisP:red builder OR( )t~eauthorizedrepresentative <br />of a registered builder, <br />The work will be performed by 8 re~istered builder, <br />Other <br /> <br />OWNER: I)A't'h;:l 0.3/,./?4 <br /> <br />USE OF BUILDING: <br /> <br />JOCCUPANT LOAD: <br /> <br />LOT: <br /> <br />WIDTH; <br /> <br />PHONt,5~ 792-3680 <br /> <br />D~PTH; <br /> <br />TYPE." ELECTRICAL <br /> <br />CONTRACTOR, N0,, <br />I.. };CENSE NO: <br />William I( <br />P0 Box 451 <br />Fluhbard~ <br />PHONE: ~81.-8041 <br /> <br />SERVICE/~EE~E~ <br />ELECTRICAl. STATE <br /> <br />PAYEE: W~lliaM K <br />RECEIVE~ BY: DE2 <br /> <br /> * THIS IS A VAL: <br />~NSTRUCTIO~ <br />SHALL BEg0ME <br /> <br />;TOWNSHIP: <br /> <br /> PERHIT OR <br />9458]. <br /> <br /> REHARI(S: CHGE ONLY <br /> <br />:. WOOOLEY¥ HARION COUNTY <br /> <br />NUMBER: 94-812~3 <br /> <br />,'; <br /> <br /> .-%---- AMO?tT <br /> <br /> ~OTALflSSE$SE~F~E~Z..S'O z~,~o <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $52.50 <br /> BALANCE~UE $0.00 <br /> <br /> RECIE]:PT NO: 56250 <br /> . TYPE; OK ~H~CJ( ~ 1220 <br /> <br /> PERHIT * THIS PERHIT EXPIRES 180 DAYS FROH ITS ISSUE DATE. IF <br /> ,PERIOD OF:iO~ D~YS~: OR' IF::COHSYRUCTION FALLS TO HEET ALL <br />AND VOID. <br /> <br /> OFFICIAL / BY ......................................................................... <br /> <br />OFFICECOPY <br /> <br /> <br />