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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chuml~ Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (5(]3) 588-79G4 <br /> <br /> ELECTRTCRL PERH~[T <br /> <br /> / / ~ <br />Ph~E 1 TO EXPIEE ~ 12/2~/1~5 <br /> <br />~ORK D~SC : 8ERV 2/PUHPS <br /> <br />SI'IT ADDRESS : DITY: HARION COUNTY 8424 DARL~:Y RD ~E AM <br /> <br />CROSS STR Eli:Tr <br /> <br />PARC, EL. NLIM,~ER <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> AI)DRES~ <br /> <br /> PHONE <br /> <br />CONTRAG'I'OR <br /> PHOWE <br /> <br />SUP~ ELEC <br />PHONE <br /> <br />BRICK RD SE <br /> <br />ALglEI_-'i~LE ROY D & NANCY ~ <br /> <br />PACIFIO ~OAST ELECTRIC <br />P'Q BOX 651. <br /> <br />STAY I'ON~ OR <br />769-7671 <br /> <br />~AC~IC [~OAST ELECT~IC INC <br />~B-7671 <br /> <br />PROPET~TY LO~A'I'OR: 092W14D 0~,[40f~ <br /> ZOIqE; EF'U <br /> <br />97383 <br /> <br /> OCCB ." 459SS <br />E[.,EO <br /> <br />SUF'V ~,].C,, <br /> <br /> 4s:,iessed ('ees t36.58 <br /> Ad just~en'h,: ,, 08 <br /> To'~al f~e$ :L J6,, 50 <br /> Total pay~en'~: I:~6.58 <br /> ...................................................~i~ ia~ c~_.~_,~i,_..,.~ ............................................. ~.~. <br />PFtI,IAI,~ E,, gB(B)LEY.~ H~R~ON COUNTY T~U~[,D[N~ OFF~Q]:AL BY M~ULL <br /> <br />,,,:* NGN-,,"('RANSFER~BLE ~N~ EXPIatES [~ ~AYS FROM I~SUE D~'TE IF DORE <br />I,ir~'~' E~)HNF[hlCCD (IR :[1:' ,(.JNSlRIJCT],~N ~[~SI:,~ FOR ~ PD~:[O~ OF 1~ D~Y~ OR l? WORK <br /> ~1~:~ S fO flEEr ~LL. RE*?UJ:REHEI,I'I'S OF ~TATE I.~S ~N~ ~ARI:ON COUNTY OR[)~N~N[,ES,, UPON <br /> <br /> <br />