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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 />~ am performing work On a property I own or occupy, <br />I am e registered builder OR { ) the authoril~ed re~,resBntatNe s GNAT RE OF A~PL OA <br /> <br />Other <br /> <br /> P, UMSV:[LL, E OR 97525 AU~4SVII_LE <br /> <br />~ ~:O..VERT]N. OR 9'73BZ ~ BITE HUH~E~: 94-~2~6~ <br />~-...4 ............. ¢ ....... D,..- .................. ........................... <br /> <br />TYPE.. ELECTRICAL <br /> <br />,~Kr. LLUP ~ WOODROW <br />649' EUREKA <br />S,(I_.VE, R f ON,, OK <br />PHOHE: 873-,,4398 <br /> <br />]'b".MP SERV/Fi?~EBF,,f"~ LFSS THAN 200 <br />Et,,E:C'I'R;r, CCd.., STATE SLIRCHAR6E <br /> <br />PERHIT OR APPLICATION NO= 57352 <br /> <br /> SLIPERVISIN6 ELECTRIC I AI,~/t,fUHBER <br /> <br />QUANTITY <br /> <br /> ~],,, ",u <br /> <br />TOTAL <br /> <br /> f'HIS RECEIPT <br /> <br /> ' , . REO~IP~ NO: 5?862 <br /> I','AYEE~ BtLLUP~ ,WOODROW ': T~PE: ~A CHE{.K <br /> Ri::;CEIVED BY: JS <br /> · THIS IS A VALID PERHZT * THiS ~R~IT:EXP:iRES 188 DAY9 FROH ITS I~UE DATE. IF <br />COHSTRUCTIQN CEASES FOR ~ PERI09,,::Og 18e,DAYS~ OR IF: CONSTRUCTION FALLS TO NEET ALL <br /> <br />SHALL BECOHE HULL ~ND <br /> REHARXS: TE~P 90WER <br /> <br />g{)NALD E,, ~OOg ,'_¢~ HC~RION (.~OtlN'l'Y BUI_DING OFFICIAL / BY ....................................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />