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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET~cNE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE: G88-G147 8:00 - 4:30 <br />24 HOUR :CODE-A-PHONE: G88-7904 <br /> <br />of a registered builder. <br /> <br />Other. <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br /> CIZI,ITURY HEADOidS f~t.IF:'ARK .¢'~.~:t~A~E PLANT <br /> <br />m i157¢ ~1 (.E_ HERON LANE NE ~GONTRAOT C~TY; <br />, AUROR~ OR ~7~02 ?IAR~ON COUNTY <br /> <br />PHONE: 678...J_81 & <br /> <br />VALUATION: <br /> <br />TYPE: ELEgTRIgAL <br /> <br />f;Oi.4, TF~A C T £1R ~ NO. 5~2876 <br />LI¢,ENSE I,lO: <br /> COL,,Ei~AN INDUSTRIES <br />4538 MAHONY ROA~ NE <br />ST PAUl.., ~71;7 <br />PHONE: c/8;I.-9194 <br /> <br />PERMIT OR:APPLTCATZOH HO: 57228 <br /> <br /> SUPERVISING IELIECI'RICIAN/NUHBER <br /> <br /> ITEM QUANTI'T'Y AhtOUN'F <br /> ~I.,,AHLH C£,.~LUIT~ W,[rHOI,JT o,r.R¢:~,C,E OR, I-EEDER- 1ST CIRCUI~ l <br /> BkAIq{,h CIRCUIT, WIIHOUT SEkVICE OR FEEDER EACH ADDITIONAL <br /> F 'T ..... ~ ........ ~ ..... <br /> :I_k.I&ICAL olAfE, U,d. IIA~E $1.85 <br /> <br /> TO~:~L ASSESSED: FEES $38,,85 <br /> : ~ ~':: ::;PR E910U~' RE CE: I P T S <br /> <br /> PAYEE: DONNA A~ ,JO,,IN.-.W~TSQN RECEIF'T NO: ~9734 <br /> RECEIVED ~Y: DM ......... CE CHECK :~: 2~925 <br /> * THIS IS A VALID PERM,ITr:~r::~: ~HIS ~ERHIT :EXP'I~E~ :~8~' DAY~ FROM ITS ISSUE DATE. IF <br /> <br />SHriLL BECOME HULL AND VOID'.: : : <br /> <br /> :,y .................. ............................. <br /> <br />OFFICE COPY <br /> <br /> <br />