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MARION COUNTY BUILDING INSPECTION <br />SI~NATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t sm a registered builder OR ( )theauthorlzedrepresentatlve <br />Other <br /> <br /> 20178 CASE R~ NE; : CONTRACT CITY: : UGB: i OCCUPANT LOAD: <br /> AIJRORA OR 97002 iMARION COUNTY ': NO <br />U~E OF BUILDING; NO OF BEOROOM$: <br /> <br /> SiTE NUMBER: 94-81823 <br />, PHONE: 678-5295 VALUATION: <br />i[6¥i i~[oc~; [~'~TF~fi: i':fA-gv~§~ i~; ~-A~ G-~? ~5'~i ~ <br /> <br />WIOTH: DEPTH'. ~, AR~A'. ~ UNITS: ~ IRREG. LOT'. ~ CORNER; <br />L ....................... ~ ................................................. ~0 ........... <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATIONNO= 54854 <br /> <br />CON'FRACTOR~ HO. 97782 <br />LICENSE NO~ <br />MORSE ELECTRIC <br />68i GE 8TH ST <br />~RANDS PASS. 97526 <br />PHONE: 476-1499 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 208~AMP$ <br />BRANCH CiRCUiT. WITH SERVICE OR FEEDER <br />ELECTRICAl,. STATE SURCHARCE <br /> <br />QUANTITY AMOUNT <br />1 $50,,~0 <br />1 $2.00 <br /> $2.60 <br /> <br /> 'tOTAL ASSESSED FEES $54,,60 <br /> PREVIOUS RECEIPT ~ <br /> :: ' THIS RECEIPT ' $0.00 <br /> <br /> ~FCEIYEB BY~ MB : TYPE: CHECK ~ <br /> <br />CONSTRUCTION CEASES FOR A PER:~09 OF :18~:~YS~ 'OR IF:CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LA~S: aND: HARION COUNTY :~ILDING aND ZONING ORDINANCES, THZS PER~!T <br />SH~LL 9ECOHE NULL AH~ <br /> <br />REMARKS: 280 SERV 1/CIA <br /> <br />I)ONALI) E. WOOI)L, EY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC; 15,~ R~, 4/f~ OF FIC E COPY <br /> <br /> <br />