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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HiGH STREET NE <br /> SALEM, OREG'(SN 97~01 <br /> <br /> PHONE: 588~5147 8:00 - 4:80 <br />24 HOuR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />~'6WNER:Df~q'E:' ~7/'06794 TI'ME': :1.0':"§8'~.21 ' TAX LOT: .... CATEGORY: <br /> ' r TIAL <br /> <br /> F 6~f ~6~' CITY, ' ..... r~: .......... OCCUPANT LOAD' <br /> le2~3 MILL 8REEK ROA~ SE ~ ' ~ ' ~ ' <br /> <br /> NO <br /> OF <br /> <br /> MA~LIN~ '~0~; ........................................... ~oi~i~N~ ................................ <br /> <br /> SITE NUHBER~ <br /> PHONE:: V~LU~TtON: <br /> <br />~ &~ ~ _ $~' [ ', ~ ~ ~._~ .................. <br /> <br />TYPE: ELECTRICAL PERHTT DR:APPLICATION <br /> <br />CBNTRACTOR~ NO. 7?524 <br />LICENSE NO. <br /> <br />1474 35~h Ave <br />8~le~, 97304-0000 ' <br />PHONE: 362-41~t <br /> <br /> ITEM " <br />~RANCH CIRCUIT. <br />ELECTRI6AL STATE <br /> <br />SUPERVISING ELECTRIOIAN/NUM~ER <br /> <br /> QUANTITY AMOUNT <br />CIRCUIT 1 <br /> $1.75 <br /> <br /> PAYEE: Qumntum Elec'trii <br /> RECEIVED BY: DM <br /> <br /> ~ THI~ TS ~ VALI~ <br />COHSTRUCTIOH <br />REgUIREHENTS ~ <br />~HALL ~ECOHE NULL <br /> <br />iEEES $36., 75 <br /> <br /> : $0.00 <br /> RECEIPT NO: 58837 <br /> <br />ERnH ITS ISSUE DATE. IF <br /> FALLS TO HEET ALL <br /> ORDIHANCES~ THIS PERMIT <br /> <br /> MAR : ' : <br />DONALD E. WOODLEY, ~8N 8~I~N~ ~B~tE~G~OFF.I~[ ? By,, .................................. <br /> <br /> OFFICE COPY <br />FORM # MO 15-5~ REV, 4/~gO <br /> <br /> <br />