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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 />I am a registered builder OR ( } the authorized representative <br /> <br />The work will be performed by a registered builder, <br />Other <br /> <br />d~v~i ~ TAX LOT.; i CATEGORY: <br /> Dhl'~-~ ', ].J./~)~?/gSt I':[!'ll-_'i~ .[.~ , ~, 1, i <br /> <br /> ~ OONT~ACT CITY: <br /> <br /> SITE NUHBER.' 94-0274? <br /> <br />~'~'~ ~'~ ' AREA'. UNITS~ ~ iRREG. LOT: ~ CORNER'. <br /> <br />TYPE: ELECTRICAL <br /> <br />CONII:~AL, fOR,~ l'iO.. :~97i54 <br />L :rCENSE 1,10¢ <br /> <br />I'"'0 BoX 9279 <br /> <br />PHONE: <br /> <br /> ITEM <br />BRANCH C1RCUi~, WITHOUT BERVICF- OR FF/EDER - 1S'f CIRCUIT <br />BRANCH CIRCUIT,~ W]~THOUT S~VtCE OR FEEDER - EACH ADD~T'[ONAL <br />ELECTRICAl, SLATE SURCHARGE <br /> <br /> '[~TAL ASSESSED F'EES <br /> PEEVI'O~S RECEtPI'~ <br /> fH[S <br /> <br /> ~L~NCE DUE <br /> <br />PERMIT OR APPLICATION NO: 59546 <br /> <br /> SUPERVISING E .. E CT R.T. (~.[ A N/NlJM I~ r_;.N <br /> <br />QUAN'TITY AMOUNT <br /> <br /> i0 <br /> $4.,50 <br /> <br /> $~.,~ ,, <br />$94,, <br /> <br /> PAYEE: I:;i"e~co :[nc RECEIPT NO: 6 .... 6 <br /> Rli'T'.I:JIVEI) BY: PF' _ .......................................... TYPE: CK CHECK ,~: 3499 <br /> <br />CONSTRUCTION CEASES FOR A PEEIOD 'OF 188 DAYS; OR IF CONSTRUCTION FAILS TO flEET ALL ~ <br />REBUIREflENTS DF STATE LAWS ~N~ flARlON COUNTY ~ILDING ANB ZONIN~ ORDINANCES, THIS P~RMZT <br />SHALL B/CO~E NULL AH9 VOID. ~ <br /> <br /> REMARKS;: 12C:lR , <br /> <br />t)l:tt, tAI...I) E., WOODLEY, MARZIONZ COUHTY Bu,T. LDING OFFICIAL / BY ................................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />