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MARION COUNTY BI INSPECTION <br /> )G, NO. 225 <br /> STREET NE <br /> ,SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I am performing work on a property I own Or occupy. <br /> I am a registered builder OR the authorized representative <br /> of a registered builder. <br /> The work will t;)e performed by a registered builder, <br /> Other__ <br /> I have read and agree to the term8 stated on the reverse side of <br /> <br />DATE; 12/'I 1/87' TIME:, 9.;],2,:O. Oa <br /> St&fEET. F~C~BERT <br /> <br />i CATEGORY; <br />; R <br />!OCCUPANCY; <br /> <br /> 7636 EVIE LANE SE .... i"U6~i i0dCUPANf t. OA~: <br />AUM~VI LLE OR 97325 i <br /> ~Rl~ ~N~Y NO [ <br /> <br />: 23257 SANTIAM NAY SE <br /> LYONS 97358 <br /> PHONE: 859-254? <br /> <br />LOT: <br /> <br />? 4¸ <br /> <br />THE PJ~NCH <br /> <br />SITE NUMBER: 289? <br />VALUATION: <br /> <br /> 26 i .... 8S ~ __ 1~ i AR 48 <br />AREA; ) UNITS; I IRREG, LOT: i CORNER; <br /> <br />TYPE: ;FJJECl'~/~C, AL <br /> <br />CONTRACTOR, NO. 40298 <br />LICENSE <br />6RICC~OLD ELECTRIC <br />22858 JENNIE RD <br />LYONS, OREGON <br />PHONE: 859-.2246 <br /> <br />'PE~4IT OR APPLICATION NO: 5900: <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> M J GRISWOLD <br /> <br /> ITEM <br />RS5 WIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE. 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> RECEIPT .... <br />::SAUCE <br /> <br />QUANTITY ANOUNT <br /> 1 $50,00 <br /> ~3.84 <br /> 2.50 <br /> <br />$56.34 <br /> $0.00 <br />$56.34 <br /> <br />$0.00 <br /> <br />PAYEE*. GRI,SNOLD ELECTRIC " ::: RECEIPT NO: 6469 <br />~ B~~ ~O ~ID ' ' <br /> <br />~o~ ,, MC ~.5~ ~Ev 6~7 OFFICE COPY <br /> <br /> <br />