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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97';301
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<br /> PHONE:588-5147 8:00- 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />NO NO
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<br />TYPE= ELECTRICAL
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<br />COI, i rRAC'fOt%~ NO,, 90600
<br />I..) 6ENSE ND:r
<br /> REL~AI,Ir ~ ,,ECTR~CC
<br />F'O BOX 96
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<br />PHONE:',
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<br />PERHIT OR ApPLTC~TION NO= 5e577
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<br /> SUPERV'.[8~NG EI,.,E. CT,',,[C,.[AH/NLJ~.E '~
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<br /> I...E, ,, 'rHAN 2!~1~ AHPS
<br />IEMF SERV/I::'F;I:,~)ER ,,c,.:,
<br />.... i,,I.CI,,,.[GAL S'TA£E SURCHARGE
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<br />I A¥I,.I,,., I~.l.l.,.l~i,] ELEC, TRIC
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<br />(tUAI'fT l T Y A M OtJ N'l-
<br /> $1 ,, 7..~
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<br />I;~6,, 75
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<br />BALANCE DUE $0.00
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<br />62158
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<br /> RL:,CF:']JW_;~,,Y,.'"~" ~b . ................................................................. TYPE: OK CHECK %,.' i286
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<br /> ~X THIS IS A VALX]~ PEr'lIT A, THIS PERHZT EXPIRES 188 BAYS FROH ITS ISSUE DATE. IF
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<br />SHALL ~ECGNE HULL AND V~ID~
<br /> , .N, ~K,,~; TEMP SERVICE
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<br />FORM # MC 15.58 REV, 4/~10 OFFICE COPY
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