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m <br /> <br />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 /> , am performlng work on , property l own or occup¥, <br /> I 8m a registered builder OR ( ) the authorized representative SIGNATU~ OF A¢~L~CANT~ <br /> Of a registered builder, <br /> TheotherWOrk will be performed by a registered builder, <br /> I h~ve read and agree to the terms stated on tbe reverse side of DATE; <br /> this document. <br /> <br />~ STACT,, DON : RESI D~:N"(I AL <br />.' ~.8....... 1;~5.¢? OLD HEHh~ RD SE CONTRACT CITY: ; UGS: OCCUPANT LOAD: <br /> <br />TYPE: ELECTRICAL <br /> <br />PERMIT OR APPLICATION NO: 57~78 <br /> <br /> , ,IPMW].St,.]F:. .... L ..l ~..(.,.LA ./,. ~' <br /> <br />SFRVICE/FEli-DER LI]S!:; lliAN 20¢~ AMPS <br /> <br />Q l,J A N T I 'F Y <br /> 2 <br /> <br /> ) ' S:'~''' c' '''r -ES <br /> THIS kECEIPT <br /> <br /> BAt,.iANCE DUE <br /> <br /> ~"hf::,, bm:41d ~ Stacy REgiEZPT <br /> F:i'.CL.I:VED BY~ JS .............................................................. 'fYF'E: CK CHECK ~: 275:~ <br /> * THIS IS A VALID PERMIT *, 'THIS~ PERMIT EXPIEE~ 1Be ~AYS FROM ITS ISSUE DATE. IF <br />CONSTRUCtiON CEASES FOR A RE~IO~ OF 18B'BAY~, OR IF CONST~UCTI0N FAILS TO MEET ALL <br />R~'..QUIREH~:.NTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING OEDINANCES~ THIS PERH"tT <br />SHALL BECOME NULL AMD VOID, <br /> <br /> AI401JNT <br /> $1~),,80 <br /> <br /> $5,.2D <br />&~505 <br /> <br />.r FJvff'dLF:F i; Ui'.;DERf.;Fg]UNIi [l~ RI Ng:~ MEETEt·] BA~ E,¢ 2: 1~] x <br /> <br />;h"!l,!Ar..~ ,% .',]'}]D! :'Y~ Ct .. .,Lt.,.,~. :~:/U):I..t)?'t6 f,-r ,.b.A.. / BY <br /> <br />ron~ # MC ~S,S~ ~.,V~O OFFICE COPY <br /> <br /> <br />