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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: 5,88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />q'he work will be pgdormed t~,,, a reois~e'red ~,u der. <br />Omer <br /> <br />D~'rE= 1,2/e~/~4 TtHE: Z2=17~14 <br /> <br />ADDRESS: <br /> <br /> 4768 DUMORE DR 8E <br />AUHSVII,,.LE OR 97~25 <br /> <br />RESIDENTIAL <br /> <br />SAME i ................................ <br />~78-641~ WK~ FOR SYLVIA SITE HUHBER= <br />PHONE: ~6~-0814 VALUATION: <br /> <br />LOT¢ ........... ~ ~L~: ISECTION: ~"i'OWNSHIP: i RANG~; ¢ ZONE: i MAP: <br /> I I ;I, 2 ' ' <br /> <br /> TYPE: ELECTRICAL PERMIT' QR APPLICATION NO: <br /> CONI"RACTOR~ NO. 44421 SUPERVISIN~ ELEgt'RICIAH/NUHBER <br /> LICEI, ISE <br /> B~INK¢ HOME SECURITY <br /> 8859 SW C,~RUS ~IVE <br /> BEAVERTON, <br /> <br /> ITEH QUANTITY AMOUHI' <br /> LIMITED ENERGY 1 <br /> EI_ECTRICAL STATE SURCHARGE <br /> <br /> TOTAL <br /> PREVIOUS: RECEIPTS <br /> THIS ~ECEIPT <br /> <br /> PAYE~: DENNIS ERICKSON RECEIPT NO: 62669 <br /> f.'ECEIVgD BY: J~ TYPE: OK CHECK $~ 229~ <br /> <br /> :~ THI~ iS A VALI~ PERMIT ~ THIS ::PERMIT EXPIRES 188 ~AYS FROH ~TS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A' PER:[OD OF 18~ D~YS, ORIF ~NSTRUCTIOH FAILS TO NEET ALL <br />REQU~REHEHTS OF STATE LAWS AHB MARION COUNTY BUiLBIHG ~HD ZONING ORBINANCES~ THIS PERMIT <br />~HALL BECOHE NULL AND VOID., <br /> <br /> REMARKS: A[.,ARH <br /> <br /> 50HAL~ E, WOOBLEY~ ~A~ION 8OUNTY ~UIL~ING OFFICIAL / BY ...................................................... <br /> <br /> OFFICF' COPY <br />FORM # MD 15-56 REV. 4/90 <br /> <br /> <br />