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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 I~IGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />"4 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work will be performed by a registered buiider. <br /> ~Oht~ve[ read and agree to tl~e terms stated on the reverse side of bATE: ........ <br /> <br />OW~; ZAX LO~: CAT,CORY <br /> CHADW]Ci% V~2RNON ', RESIDENTIAL <br /> <br /> 9244 PORTER ~D SE <br /> <br /> ~ITE HUHBER: 94-e3927 <br /> ~ NF- ' ~ VALUATION; <br /> <br /> TYPE: ELECTRICAL PEE~IT OR APPLICATION ilO: <br /> <br /> CPNTRACTOR~ NO. 4593~ SUPERVISIN~ ELECTRICIAN/NUMBER <br /> LICE;HSE <br /> <br /> PO ~ox 651 <br /> <br /> PHONE: 769-7671 <br /> <br /> ITEM QUANTITY AMSUNT <br /> BRANCH CIRCUIT. WITHOU'I SERVICE OR FEEDER - iST CIRCUIT 1 <br /> E].ECTRICAL SLATE SURCRAReE $1.75 <br /> <br /> TOTAL ASSESSED FEES $7,6.75 <br /> PREVIOUS RECEIPTS Se.. <br /> I'HIS RECEIPT $36.7,5 <br /> BALANCE DL/E <br /> <br /> F'AYEE:.,., Paci~'ic Coast Elec~f'.Kc lnc RECEIPT NO: 6'i.~32 <br /> r,L.L~ ,[VEQ BY: DM ' <br /> ...................................................... TYPL;: CK CHECK :~: 7469 <br /> * THIS iS A VALID PERMIT * THIS PERHIT EXPIRES 18~ DAYG FROM ITS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR A PER~O~ OF 180 D~YS~ OR IF CONSTRUCTION FAILS TO HEET ALL <br />SH~LL ~ECDHE NULL ~H~ <br /> <br /> REMARKS: 1 CIR FOR &Am FURN ' , <br /> DONALD E. WOODLEY, <br /> <br />OFFICE COPY <br /> <br /> <br />