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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET Nr: <br /> SALFM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t em s registered builder OR ( ) the ~iuthorized representative <br />of a registered builder, <br />The work wUI be performed by a registered builder, <br /> <br />i S~TUS ~A~"s?,j CARRY .............. ',~&~g~ ~'~i' ~IAL <br /> <br /> 28757 CASE RQ NE ~ ; ; <br />'~us~ O~ ~ui~ORA <br /> <br /> SAHE <br /> SITE HUflBER: <br /> ~ -. 678--u8~8 VALUATION. <br /> g .................................................................. <br /> <br />i'WID~H; IDE¢~H; ', ~A; I U~'. ~ ~E~. LOT; <br /> ] j.,,,, ~ ,~B FIg <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTI~AC'I'OR~ NO. <br />LICENSE <br />ARENDT~ LARRY <br />SAHE <br /> <br />PNONE: 878-§8?0 <br /> <br />PERNIT OR APPLICATION NO: 58771 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />MANUFACTURED HONE SERVI, CE/FEE~ER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $4~.00 <br /> $2.00 <br /> <br /> TOTAL ASSESSEDFEES <br /> PRE:~IOUS::RECEIp~ <br /> THIS RECEIPT <br /> <br /> ::!.:i::.:i:i:::: !. : B~L~NCE DO[ <br />PAYE~: REggIPT I'lO: <br />RECEIVE~ BY: DF ~YPE:: CHECK <br /> <br />$4=,, 00 <br />$42,, 00 <br /> $0, <br /> <br />$0.00 <br /> <br /> * THiS iS A VALID PERMIT:* THIS PERMIT:EXPIRES 18~ DAYS FROM ITS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR A PERIO~:OFIOBDAYS~OR~F' CONSTRUCTION FAILS TO MEET ALL <br />REOUIRENENTS OF STATE LANS :AN~::NARION COUNTY BUILDING AND ZONING OR~INANCES~ THIS PERMIT <br />SHALL BECOHE NULL AND VOIg.: <br /> <br /> REMARKS: HS SERV CHG <br /> <br />DONAI..I) E,, WOOQLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC t 5-56 REV. 4/90 <br /> <br /> <br />