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MARION COUNTY BUILDING INSPECTION <br />SENATOR.BLDG, NO. 225 <br />22~0 HIGHSTREET 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 performing work on a property I own or Occupy. <br /> I am a registered builder OR ( ) the authorized representative <br /> of ~ registered buitder, <br /> <br /> Other ..... <br /> <br />iOWN~)ATE: ............................... ~9/22/~4 TIME: 11:22=~ ' Y~ LO~'. , C~TEGORY~ <br /> <br /> ~ CONTRACT ~Y; ~ ~G~: ~CUPANT LOAD~ <br /> ~ SECOND ST NE <br /> <br /> P,0, ~0X 349 · <br /> PHONE: ' , VALUATION: <br /> <br />TYPE= ELECTR~ECAL PERHTT OR APPLTCATJ[OH NO: 58378 <br /> <br />COHTRACTOR~ NO. 44837 <br />LICENSE <br />~eborahWaterman Ma~inos <br /> <br />Silverto~, <br />PHONE: 87~-5275 <br /> <br />SUPERVISING ELECTRICIAN/flUMDER <br /> <br /> ITEM <br />BRANCH CIRCUIT, ~ITHOUT SERVICE OR FEEDER - IST CIRCUIT <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> I $35.00 <br /> $1.75 <br /> <br />T0TAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH'ISRECEIPT <br /> <br />$36.75 <br /> <br /> PAYEE= DeborahWaterman Marinoe RECEIPT NO: 60923 <br /> RECEIVED BY: mb TYPE= CK CHECK ~: ~4825 <br /> <br />CONSTRUCT~OH CEASES FORA PERIO~JOF 18~DAY$~ OR;~F CONs'IrRUCTIOH FAILS TO HEET ALL <br />REOUIREHENTS OF STATE LAWS AH~ HARMON COUNTY BU~L~[NG AI~ ZONZNC ORD~HANCES~ TH~S PERHZT <br />SHALL BECOHE NULL AND ItDZD. <br /> <br />REMARKS= 1/CIR TO SEPTIC PUflP <br /> <br />DONALD E. WOODLEY~ MARION COUNTY DUILDIN~ OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />