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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGQN 97301 <br /> <br />PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR :CODE-A-PHONE: 588"7904 ~ .~_~:%:;p <br />lam performing work on a property I own or oooupy, , ~¢~ f,~~/ ~..,~,..~ <br />I am a registered bvilder OR the authorized representative SIGNATURE 0¢ ARRL CANT <br />of a registered builder, ~ <br />The work will be serformed by a registered bui,der.Other .................. Z__.<. '~'~-' ~' <br />I have read and agree to the terms stated on the reverse side of DA <br /> this document, <br /> <br /> NYE, G~RY [56116-000 <br /> . RESIDENTIAL <br />S TUS AOORESSI CONSTRUCTION TYPE: ! O~OuPAN~i <br /> AUHSVILLE OR 97_~25 ~ARION COUNTY MO <br /> <br />MAILING ADDRESS; ~ SUOOIV[S~ON; <br /> <br /> SAME; r <br /> I SITE HUHBER= 94-03281 <br /> F'HONEI 390--0223 , ! VALUATION: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOH~ 110. <br />IICENSE NO: <br />i~YE. G~RY <br />SAME <br /> <br />PHONE: 370-022~ <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 2~8 AM~S <br />~RANCH CIRCUIT. WITN SERVICE OR~ FEEDER <br />ELECTRICAL STATE SURCNARGE ..... <br /> <br />PERHIT OR iAPPLICATION NO: §9848 <br /> <br />SOPERVISING ELECTRICIAN/NUMBER <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> <br /> i;;A"CE <br /> <br />QUANTITY AMOUNT <br />1 $58~00 <br />8 $16,,09 <br /> <br /> $0.00 <br />$69.30 <br /> <br /> PAYEE: NYE. GARY RECEIPT NO: 61609 <br /> RECEIVED BY: CL TYPE: OK CHECK ~: 4282 <br /> <br />COHSTRUCTiON CEASES FOR A PERIqO' OF"jS8 DAYS~ OR IF,CONSTRUCTION FALLS TO HEET ALL <br />REOUIREHENTS OF STATE LA~S AND'MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~IT <br />SHALL ~ECOME HULL AHD VOID. <br /> <br />REMARKS: SVC~ 8 CIR FOR 'BU~57572 //~ <br />DONAI,,,D E. WOODLEY, MARION COLINTY BUILDING OFFICIAL / BY~ .............................................. <br /> <br />OFFIC~ COPY <br /> <br /> <br />