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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG. 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 NT..~. ~;:Z_.Z ~ <br />of a registered builder. <br />The work w~ll be performed by a registered builder· <br /> <br /> DATE;; 11/291~,4 TIHE: <br /> <br /> j~ OONTRACT CITy; [i UGB'. ~ ~0 ~0~: <br />J us~ o~ ~u,~SVIEEE ~---B~Z~ T~o o~ ~EO~OO~S: <br /> <br /> ~ SITE NUHBER~ 94-04~11 <br /> 'NO NO <br /> <br />TYPE= ELECTRICAL <br /> <br />CONI'RACTOR~ NO. 52287 <br />LICENSE NO. <br />DAY FORE ELECTRIC <br />PO BOX 865 <br />NORTH BEND~ 77457-800B <br />PHONE: 756-1189 <br /> <br />PERHIT OR APPLICATION HO: ~2~ <br /> <br /> SUPERVISING EI..ECTI~ICIAN/NUHBER <br /> <br /> ITEH QUANI'TFY AMOUNT <br />BRANCH CIRCUII'~ WITHOUT SERVII~E OR FEEDER -:1ST CIRCUIT <br /> ~ITHOU1 SERVICE OR FEEDER - EACH ADDITIONAL 3 $6.00 <br />BRA~[CI4 CIRCUIT, I . .- I $35~00 <br />ELECTRICAl_ STATE SURCHARGE .~ <br /> $~.05 <br /> <br /> 'FO'FAt."ASSESSEB FEES $43.05 <br /> PREVIOUS RECEIPTS $8.00 <br /> THIS RECEIPT $43.05 <br /> .BALANCE DUE $0.00 <br /> PAYEE: DAY FORD ELECTRIC,r~ ' ,, <br /> RECEIVED BY: PM RECEIPT.NO: <br /> ..:_.:1_.2 ............ - ........=:__'"~ff:~__:-=-= ....... = ............ TYPE:_~K CHECK $. <br /> ~ THIS IS A VALI~ PERHIT * THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE ~ATE. ~F <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, 8R IF.CONSTRUCTION FALLS TO MEET ALL <br />REOUIREMEHTS OF STATE LA~S ~MD MARION COUNTY BUILDINg 'AMD ZONING ORDINANCES, THIS PERMIT <br />SHALL ~ECOME HULL AND VOID. ' ' <br /> <br /> RENARKS: 3CIA <br /> <br />f)ONALD E. WOODLEY~ MARION:COUNtY BUI:LDING "OFFICIAL" ' / BY <br /> <br />OFFICE COPY <br /> <br /> <br />