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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 />I am a registered builder OR ( ) the authorized representative <br /> <br />I have read an¢ ogres to the terms stated On the reverse side of <br />this documem. <br /> <br />LEAVY FARE ~ UHKNOWN CLASS <br /> <br /> 11288 FARGO Rf) -- ' CONTRACT C~T¥: ' U~S; :~OCCUPANT LOAO'. <br /> A[JRO~A OR 97882 ~ARION COUNTY ~NQ ' <br /> <br /> PO BOX ~76 <br /> DONALD ~ SITE HUHBEE= <br /> PHONE: ~78-5~82 ~ VALUATION: <br /> <br /> , ~ ~ ,, , <br /> <br />TYPE= ELECTRICAL <br /> <br />CONTRACTOR~ NO. 73158 <br />LICENSE NO: <br />Steve L Morris <br />PO Box 376 <br />~o~ld~ 97828-8888 <br />PHONE: 981-0379 <br /> <br />PERMIT OR APPLI£ATION NO: 58642 <br /> <br /> SUPERVISING ELECTRiCiAN/NUMBER <br /> <br />~ERVICE/FEIEDER LESS THAN 200 AMPS <br />PUMP 01~ IRRIGATION CIRCLE <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: Steve L Morris <br /> <br />TOTA ASSESSE FEES <br />PR V%OUS RECEIPTS <br /> MISRECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $50.00 <br />1 $40.00 <br /> $4.50 <br /> <br />$94.50 <br /> $0.00 <br />$94.50 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 61332 <br /> <br /> RECEIVED BY: js .......... ~_~= ................. TYPE: CK CHECK ~: 2952 <br /> <br /> $ TN~S IS A VALID FRON ITS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR FAILS TO HEET ALL <br />REQUIREHENTS OF STATE LANS ~HD :MARION COUNTY BUILDINC :AND ZONINg ORDINANCES~ THIS PERMIT <br />SHALL BECOHE HULL ANY VOID~ <br /> <br /> REMARKS: 200AHP~ IRR PUMP <br /> <br /> DONALD E. WOODLEY~ EARIOH COONTY BUILDING OFF[OlAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />