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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH,STReET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />HANSEN, VERNON <br /> i, <br /> <br /> ~ SiTE HU~: <br /> PHOHE: 74~-1~17 V~LUAT;OH: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 44421 <br />LICENSE NO: <br /> BRINKS HONE SECURITY INC <br />8¢59 SW CIRRUS DRIVE <br />BEAVERTON, ~7005 <br />PHONE: J41-Ol?& <br /> <br />PERHIT OR APPLICATION NO= 58581 <br /> SUPERVISING ELECTRICIAH/NUMBER <br /> <br />PREViOUSRECEIPT8 <br /> <br /> ITEM <br />LIMITED ENERGY <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> <br /> $1.00 <br /> <br />$21.00 <br /> $0.00 <br />$21.00 <br /> <br /> THIS RECEIPT <br /> : BAI~:ANCE ])UE $0.00 <br /> <br /> PAYEE: BRINKS HOME RECEIPT NO: ~1143 <br /> RECEIVEB BY: DM <br /> <br /> ~ THIS IS fl VALI~ PERHIT EXPIRES 18B:BAYS FROH ITS ISSUE DATE. <br />REOUIREH~TS OF STATE LA~S ~D~:~RiDN CO~TY BUILDING AND :ZONING ORglNANCES, THIS PERH/T <br />SHALL BECDHE NULL AND VD~9. <br /> <br /> RE~ArKS. ALARM ': <br /> DONALD E, WOODLEY~ MARION,COUNTY BUILDING OFFICIAL /BY ~_ ..................... <br /> <br />OFF)CE COPY <br /> <br /> <br />