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MARION COUNTY BU.4,LDIN~ 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 />I am performing work on a property I Own or occupy, <br /> <br />o a re9'¢", ered builder. <br />The work wiil be per¢ormed by a registered builder, <br /> <br />owr~!,~l'E: 06/20/90 <br /> <br />S~TUSADD~E~Ar'~";4J-~IN, ~ <br /> <br />TIME: 11:52~31 <br /> <br />REStDEN'flAL <br /> <br /> 124'75 FRY RD <br />AURDRA <br /> <br />OR <br /> <br />'12453 FRY ROAD NE <br />AURORA 97002 <br />PHONE: 678~557FEiC¢ <br /> <br />SECTION: <br /> <br /> $1TE NUtflBER** 5180 <br />TOWNSHIP; , <br /> MAP: <br /> <br />575 117 <br /> <br /> 21 , d~i'r~; aS" :' ~R~.'LST; 7.~ ;CO~N~R; gE'U[ 6 <br /> <br />60255. :SF NO : NO <br /> <br />'TYPE: ELECTRICAL PERMI'i' OR APPLICATION NO: <br /> <br />(Y,,,~N'rRACTOR, NO. <br />LICeNSE NO: <br /> <br />1248~ FRY ROAD NE <br />AURORA 97002 <br /> <br />SUPERVISING ELEC'IR[CiAN/NUI~BER <br /> <br />0/1 FEEDER TO 100 <br />FLEET SURCHARGE -ZONE <br />ELECTRICAL STATE <br /> <br />QUA~TII'Y AMOUNT <br /> 1 $25.00 <br /> $7.58 <br /> $1.25 <br /> <br />TOTAL /k7%~ED FEES <br />PR~%'~tr-JJ~ RECEIPTS <br />THIS RECEIPT <br /> <br />$0.oo <br /> <br />BALANCE IJJE $0.0o <br /> <br /> PAYEE: RECEIPT NO;. <br /> R~CEIVED ~Y: PR 'TYPE: CHECK ~: 0 <br /> <br /> *THIS 1S A VALID PERMIT * THiS PERMIT IEXPIRE~S 180 ~ F~ <br />~ST~CTI~ C~ ~R A P~I~ OF 180 ~, OR IF ~T~CTI~ PAJ~ TO ~T ALL <br />~iR~T~ OF ~TATE ~ ~D ~I~ ~N~ BUI~ING ~D Z~I~ ~OIN~, THi~ ~iT <br />~ 8~E NU~ ~O <br /> <br />REtcC. RK~: 100 AMP FEEDER R~3450 <br /> <br />OONALO 6. ~OOOLEY, MARiON COUNTY BUILDING OF'F'IC£AL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />