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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, QREGON 97301 <br /> <br /> PHONE: S88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work wiU be performed by a registered builder. <br /> <br />CATE: <br /> <br />SHSNR,~ MYF:F. N i ':S ..... <br /> 2~ ¢~lYI])~"I' ~}¥E =_ f CONTRACT CITY: , U~B: ~ OCCUPANT LOAD: <br /> <br /> VALUgTZON:: <br /> <br />TYPE: ELECTRICAL <br /> <br />PERMIT OR APPLICATION NO: 542~8 <br /> <br /> SUPERV.t. oING, EL E'CTR I C.T. AE,I/I,iU M BE R <br /> <br />TOTAL: ASSESSED ~:'EES <br />F'RFVIOU8 RECEIPTS <br />THIS ........ ' <br /> RE CE t I' T <br /> <br />Et,li:CTRICAL STATS: SUI,ChARGE. <br /> <br />QUANi'Z'f'Y AMOUNT <br /> 1 $-~.8,. ~0 <br /> $1.08 <br /> <br /> PA,T,F.E: SECURETY ALA:/~4 ' ] <br /> ~0RF RE£,glPT NO: 556?9 <br /> I~E£,EIVED BY: PH2 : <br /> TYPE: CK CHECK ,~,: 15488 <br /> $ THIS IS A ~ALID PERMIT ~ ~HiS pE~WlT EXPIRE~ 188 BATS F~QM ~TS I~UE DATE. ~ .......................... <br />CONSTRUCTION CEASES FOR:' A OR iF CONSTRUCTION FALLS TO ~EET ALL <br />REQUIREMENTS OF STATE LAWS ,;~N~ HARIOH COUNTY ~IL~N~ AND ZONZN~ ORDINANCES, THIS PER~IT <br />SHALL ~ECO~E NULL AN~ VO~ <br /> <br />REMARI<.%' <br />j)l]i'i,ql.jO <br /> <br />I...E. ~ EIqER6'~ <br /> <br /> WOt']Di .EY, ?i,qR:[OH C :)I ;, TY 8U1 .P El, G I]F F I~.,IA,.. / ~'~ <br /> <br />~o~ ~ Mc ~s.~s R~V. 4/~ OFFICE COPY <br /> <br /> <br />