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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 GODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( } the authorized representative SIGNATURE OF AP· ~. <br /> <br />The work will be pertormed by a registered builder. <br />Other ......... <br />I have resd and agree to the terms stated on the reverse side of <br />this document, <br /> <br />TYPE: ELECTRICAL <br /> <br />L, tr. jENSE <br />BAKER~ C, HARLES <br /> <br />PHONE: <br /> <br />PERI4IT OR APPLICATiOH HQ: <br /> <br />57197 <br /> <br />5UPERVISINE ELI:C~ R,~ b I AN/19tJH~ ER <br /> <br /> ITEH <br />SEN¥ICE/FE:iOER ,;SS 1HAN 200 :AMF'S <br />FI.EC'fI-~IE:~L STATE SURCHARGE <br /> <br />PRE¥IOUS RECEIPTS <br /> <br />QLiANTI'fY <br /> <br /> RECEiYED [,Y: C!. ' OK CHECK '~= 1091 <br /> <br /> THIS IS A VALI]) PERMIT THIS: PERMIT EXPIRES 188 DA'~S FROM ITS ISSUE DATE. IF <br />CONSTRUCTI08 CEASES FOR fi PERIOD OF ,18~ DAYS~, OR:IF CONS:TRUCTIOH FALLS TO MEET ALL <br /> <br />'0t')H(~l,'f) t?;,, W!)O!')L[!TY,~ fIAr.;[01i bOIJ~.lT¥ ,SUiLPiN6 OFFM. IAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />