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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 229 <br />220 HIGg STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514.7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-79O4 <br /> <br />The work will be performed by a registered builder, <br /> <br /> DATE: 02/03/94 TIME: I~:I5:32 <br /> JOHNSON~ BIL. LY 6 s&~-eee RESIDENTIAL <br /> <br /> ]6~Ff~ ................ ~XYR~ ................ ~D'~T~ ................. ~-F~i-~G ............. ~'N~T m <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ NO. 125 <br />LICENSE NO. <br />GROSSEN~8 WELL DRILLING <br />19927 MILL CREEK RD. <br />8COTTS MILLS. 97375 <br />PHONE: 873-3700 <br /> <br /> ITEM <br />PUMP OR IRRIGATION CIRCLE <br />ELECTRICAL STATE SURChaRGE <br /> <br />PERMIT OR APPLICATIOH HO: 52586 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AMOUNT <br /> 1 $40.00 <br /> $2.80 <br /> <br />PA,Y, EE: GROSSEN~ S <br />RECEIVED BY: DM2 <br /> <br /> Z THiS IS ~ VALID <br />CONSTRUCTZOH CE~S <br />REQUIREHENTS OF <br />SHALL ~ECGME HULL AMD <br /> <br />$42.08 <br /> $0.e0 <br />$42.08 <br /> <br />$8.00 <br /> <br />RECEIPT NO: 55178 <br />CK CHECK ¢: 5048 <br /> <br />REMARKS: WELL PUMP ::,;_,,. ,::/ ~ <br />DONALD E. WOODLEY~ MARION COUNTY BUILDING.O~FICIAL /.BY <br /> <br />ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> DRDIHAHCES~ THIS PERMIT <br /> <br />ro~a. Mc ~s-~ n~v, 4~o OF FICE COPY <br /> <br /> <br />