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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 /> Other_ <br /> <br /> this document, <br /> <br /> "~ I I ,z. . . '. <br /> dWN~' ~.,,, . ', TAX LOT; <br /> ~ PO}. Ek'f <br /> RAN'r,¢ RESIDENTIAl_ <br /> <br />i 116~3 TEAL LANE NE [ <br /> <br />i mA~l~m~ ADDRESS; ] SUBDIVISION: <br />, <br /> <br /> PHONE: 678-5&28 VALUATION: <br />~JW DTH DEaN AREA; J UN TS; ~EG, LOT: <br /> <br /> TYPE: ELECTRICAL PERI, IT OR APPLICATION NO: 68863 <br /> (,,ONII,,ACTOR, HQ~ 20919 ' SUPERVISING ~LECTRIC:[AN/NUMBEi~ <br /> LICENSE <br /> Bear Electric <br /> PO Box <br /> <br /> PHONE: <br /> <br /> ITE~ QUANTITY AMOUNT <br /> MANUFACTURED HOME SERVICE/FEEDER I <br /> ELEC'fR[CAL STATE SURCHARGE <br /> <br /> TOTAL A~SESSED FEES $4~," ") <br /> PREVIOUS RECEIPTS <br /> RECEIPT $42. <br /> : :: , , : ,: <br /> BAb~NCE DUE <br /> PAYEE: Bear E1ectrJ, c I~C RECEIPT NO: <br /> RECEIVEP BY: ~F . . _ TYF'E: CK CHECK ~: 1139~ <br /> · T~IS IS A VALZ~ PER~ZT THiS :PERHZT EX~ES 188i DAyS: FROM ITS ISSUE ~ATE. <br />CONSTRUCTION CEASES FOR ~ PERlo~ oF COHSTRUCTION FALLS TO HEET ALL <br />SHALL ~ECO~E NULL ANB <br /> <br /> ~ONAI.J) E. WOODLEY~ HARION COtJNTY ~U:I:L~ZN6 OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MO 15-56 REV. 4/90 <br /> <br /> <br />