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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 performing work on a property I own or occupy, <br />I am a registered builder OR the authorized represen ave <br /> of 8 registered builder, <br />The work wIH be pedormed by a registered builder, <br />Other .... <br /> <br />DATE <br /> <br /> RYAN MIKE: ~REO;[DENTZ~L <br />'~'l~dS ADoRESS; ................................... 8ONST'~US~bN TY~E: ......... ~'OEdO~ANc~. <br /> <br /> AURORA 0R ~7002 MARION COUNTY N0 <br /> <br />SAi'IE .................. <br /> SITE NUMBER: <br />~ HONL,, 67(:)-5578 VAL[JATION: <br /> <br />TYPE: ELECTRICAL <br /> <br />C. ONTRACTOR,~ biO. 49229 <br />I... I f;ENSE <br /> W]'I..SONVILLE LOCK & ~CURI'rY <br />PO BOX <br />WII_SONV IL~.,E~ <br />I'-OHE~ 682'-'2823 <br /> <br />PERI"lIT OR APPLICATION NO: 57~41 <br /> <br /> SUPERVISING ELECTRIC'r AH/NL~MBER <br /> <br /> ITFM <br />I.,IM'['fE~ ENF;:R ;Y <br />I..LE.C'fR)(,,A, STATE 8LIRCHAF~[~E <br /> <br />OUAN'FI'f'y AMOIJNT <br /> 1 $20,, 09 <br /> ~J 1,. 00 <br /> <br /> TOTAL ASSESSED FEES $21.08 <br /> PI~EVIOIJ!.~ RECEIPTS $0.00 <br /> THT,S REOEIF'T $21 <br /> <br /> F'AX~(E: W:[[_SO,iV!L ~ LOCK & SECU~:[TY RECEIPT NO: 59853 <br /> ~. IVED BY: I)F fYi:E: OK CHECK ~;; 5~:L2 <br /> * THIS lB A VALID PERMIT * ' ~H]8 PERNIT EXPIRES 18~ DAYS FROM iTS ISSUE DATE. iF <br />CONSTRUCTION CEASES FOR A PEEIO~ OF ,188,DAYS~ OR IF CONSTRUCTION FA~LS TO flEET ALL <br />REQUIREMENTS OF STATE LAWS, AND ~ARIDN COUNTY BOILDING AND ZONING ORDINANCES~ THIS PERMIT <br />SHALL BECOME NULL AH9 <br /> <br /> RFMARKg[ [_IMZTE~ ENEF~GY · <br /> <br />OFFICE COPY <br /> <br /> <br />