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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 />l am ~ registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other. <br /> <br />this document, <br /> <br /> ~ CONSTRUCTION TYPE'. <br /> <br />~ ~ CONTRACT CITY: UGS: - ~-8~88~ 6~0: <br /> 15~ N 7TH 8'r ' -- ~ ~ <br />;U~E OF BUiLdiNG; ~0 0F GEOR00MS: <br /> <br /> SITE NUMBER: 94-~2685 <br /> PHOI'IE: VALUATION: <br />il LOT; ~ T~LO~'. ..... ~ E C"T"I 0'~". ...... FTO~N~MI~: ~ R~NGE:~ ' )ZONE; MAP: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ NO. 34684 <br />I_ICEHSE HO: <br />Jud~on5 I~c <br />PO ~ox ~266~ <br />sale., 97~09-~0 <br />PHONE= ~63-4141 <br /> <br />PERMIT OR APPLICATION NO: 56277 <br /> <br /> SUPERVISINC ELECTRICIAN/NUMBER <br /> <br /> ITEK <br />SERVICE/FEEDER LESS THAN 208'A~PS <br />~RANCH C~RCUIT~ WITH ~ERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL, ASSESSED FEES <br />PREVIOUS RECEIPTS <br />'THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> 1 <br /> 5 <br /> <br />AMOUNT <br /> $50.00 <br /> $10.00 <br /> $3.00 <br /> <br />$0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: Judsons Inc RECEIPT NO: 58780 <br /> RECEIVE9 BY: <br /> <br /> ~ TH'rs IS <br />COHSTRUCT[OH CEASES FOR ~ PE~ OE ,18~ 9~YS~ :~ ~F, COHSTRUCT[~N FA~LS TO HEET ~LL <br />SHALL BECOHE NULL AND VOID. ' , <br /> <br /> OFFICE COPY <br />FORt~ # MC 15-56 REV, <br /> <br /> <br />