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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:$0 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br /> DATF= 12/01/~4 TIME: 10~27:S4 <br /> <br />;,' AURO~A202¢8 HHY 99 ~ 08 97002-- 'r ~Ca~OCXh~ Lo*o: <br /> <br /> AUROR.A, OR 97002 <br /> PHOHE. 678'°1272 ~ YALUATION: <br />, <br />ILOT'. I BLOCK; 8EOTlOh TOWNSHIP; RANGE ~ ZONe; , MAP: <br /> . ~3 4S 1W EFU 5 <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: 5797! <br /> <br />CONTRACTOR~ hiD. 26071 <br />LICENSE <br /> Canby Electric <br /> <br />Canby~ ~7013-0000 <br />PhlOME: 266-7878 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />SERVICE/FEE~ER LESS THAN 208 AHPS <br />8RANCH CIRCUIT. WITH S~VICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />4 $200.80 <br />1 $2.00 <br /> $10.10 <br /> <br /> [OTAL ASSESSED FEES $212.10 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT ¢21_.18 <br /> <br /> BALANCE DUE $0.00 <br /> <br /> FAYEE. Canby Electric [nc RECEIPT NO: 6,,~66 <br /> REC~IVEQ BY~ js ................................... TYPE: CK CHECK ~: 17105 <br />~ THIS tS A VALI~ PERMIT $ ,'THIS PERHiT EXPtRES 188 DAYS FROH ITS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD ~ 186 DAYS~ OR 'IF CONSTRUCTION FAILS TO ~EET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION'COUNTYBUiLDING AND ZONING OEDINANCES~ THiS PERMIT <br />SHALL B~COHE NULL AND VOI~. ' <br /> <br /> REHARKS: 4 200 AHP SER~ 1 ciR ' <br /> <br />DONALD E. !,]OODLEY.~ <br /> <br />MARION COUNTY :BUILDING OFFICIAL :/: BY <br /> <br />OFFICE COPY <br /> <br /> <br />