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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 />of a regis ered builder, <br /> <br />this document. <br /> <br />.... EOREHAb JIM..&.TERESA ...................... '~ 74~55.=0:~1 ............. RES]iDENTIAL <br />~ TUS ADDRESS: ; CONSTRUCTION TY~E: I OCCUPANCY: <br /> <br /> 10322 LEVERNAN ~D SE <br /> AUHSV[LLE OR ~7~25 ~ARION COUNTY ~NO <br /> <br /> ! .... E~flOR --E~ATEs <br />,552 N 11TH : ' <br />AUMSV~L[.E ~ SITE HUHBEE: 94-81692 <br />PHONE: 749-1583 ~ VALUATION: <br /> <br />TYPE: ELECTRICAL <br /> <br />COI4TRACTOR~ NO. <br />LICENSE <br />FOREHAH~ JIM & TERESA <br />562 N ].1TN <br />AUMSVILL£ <br />PHONE: 749.-15~3 <br /> <br /> ITEM <br />MANUFACTURED NOME <br />ELECTRIOAL ~TATE SURCHARGE <br /> <br />PERMIT OR APPLICATISN HO: 54&28 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AMOUNT <br /> 1 $4~.00 <br /> $2.80 <br /> <br /> ,i : TOTAL ASgESSED FEES $42°00 <br /> ,PREVIOUSRECEIPI'9 $42.00 <br /> <br /> PAYEE: ~"NA RECEIPT NO: <br /> <br />* THIS IS A VALID D~¥S FROfl ITS ISSU[ ~ATE. iF <br />CONSTRUCTION CEASES FORA CONSTRUCTION FAILS TO HEET ALL <br />RE~UIRENEHTS OF STATE OR~IHAHCES, THIS PERNIT <br />SHALL ~ECO~E HULL AND VOID~ <br /> <br /> REMARKS: MS SERVICE i:i i i,:: <br /> <br />DONALD E. WOODL, EY~ MARION COUNT,Y BU:TLDI:NG OFFICIAL / BY <br /> <br />~on~ ~ MO l~-~ aav. ~o OFFICE COPY <br /> <br /> <br />