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MARION COUNTY BUILDING INSPECTION <br /> <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STRD_ET NE <br /> SALEM, O,~EGON 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 representstive SfGNATURE OF APPLICANT: <br /> of a registered builder. <br /> The work will be peRormed by a registered builder, <br /> Other <br /> <br /> this document. <br /> <br /> , DOERFI,,E~ 80B~RT I , ~RESIDENTIAL <br /> S TU,~ ADDRESS: * ..........~-8~Sf-~USYid'~ ~¢~': <br /> <br />us~ o~ ~mLmNC: <br /> <br /> , <br /> <br /> ~ 5liE HU~BER: <br /> PHONE: 37~-~744 ! VALUATIQN: <br /> <br />, 1~8. AC NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ NO. 45774 <br />LICENSE NO: <br />Rod~ey Ja~em Loder <br />1210 Albert Dr Se <br />SaleM~ 97~02-8000 <br />PHONE: g79-9828 <br /> <br /> ITEM <br />TEHP SERV/FEEDER LESS THAN 290 AMPS <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATIOH MO: 5279~ <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />T:OTAE~SSESDEDFEES <br />PREVIOUSRECEIPTS <br /> <br />QUANTITY AMOUNT <br /> $1.75 <br /> <br />$36.75 <br /> $9.00 <br /> <br /> :: ;~ALANcE: DUE $0.00 <br /> F'AXEE: Rod~ey James Lode~ RECEIPT NO: 55247 <br /> RECEIVED BY: DM2 : : ...... '-~- <br /> <br /> $ THIS ~S A VALID PERMIT ~ THIS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FORA FAILS TO NEET ALL <br />RE~UIRENEHTS OF STATE L~S':~HDNARISNCGUHTY~UI~I~GAND:ZOHIN~ ~RDINANCES, THIS PERMIT <br />SHALL BECOME HULL AHD VOID. ' <br /> <br />REHAI,,KS, TEMP. POWER <br /> <br />I)t;tNAL, D IS. WOODL, EY,; MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FO~M # MC ~s.r~ Rev. 4/~o OFFICE COPY <br /> <br /> <br />