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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 2M Church Str$~ NE · Room 1~2 · ~lem, Oregoil 97301-3670 <br />Office Hour~: ~:00-4:30 · PhOne: (~r03) 5~-$147 · 24-HR In~ectlon Lln$: (503) 373~,4~ <br /> <br /> FI.FCTRtCN~ <br /> <br /> : 12/1~1~& <br /> <br />~OR~ ~FS~ : I~CRA~F SFRV & P~H~I. BOX/ ~&-~TR (HAVK BOX <br /> <br />~lTF AI)flRF~S : CITY: MARION COUNTY <br /> tut44 BFLO~N OR ~E ST <br /> <br />C R{1,qS BTRFFT <br /> <br />PARCEl. HHHB~.R <br /> <br />{/WNFR NANF <br />APPI. [ CANT <br /> <br />WFST STAYTON & BFI flFN <br /> <br />1 TNCFNFFt TFR, ROY L. <br /> <br /> HAMF: [ JNCFNFFtTFR,RflY L. <br /> AI}ORFSS : 11~44 BFI.I)FN 1)R SE <br /> STAYTON <br /> OR 97);8,3 <br /> PHONF : 7~9-J257 <br /> <br />Cf)NTRACTllR , .- I.TNfiFNFEI.TFR~ROY I.. OCCB: <br /> PHONF : 769-1257 <br /> <br />FI ECFRTCIAH : CONTRACTOR LICENSE: <br /> PH{1NF : <br /> <br />SIIPV FI FC = SIIPERVIS~ LICENSE: <br />PHOflF : <br /> <br />Ilnits Oesqriotion Fee <br /> ] · Serrate/feeders up to 2~H amps 5~B~ <br /> 16 granqh cil-¢uits 32.88 <br /> ] State surcharge 4.18 <br /> 1 R~fund .88 <br /> <br /> · : Adjus M.nts . <br /> Tnt~l fees 86.18 <br />PAYEE: I.TNr, KNFF .TFR, ROY I_. Total payments: 86.10 <br /> · B~] ~nre due : <br /> <br />TH~S P~IT IS NOH-TR~qlg~;P~IILE N4D EXPIRES Ig~ D~YS FRI)I~ I~SUE DATE IF IJORK <br />HIlT COIg~.H~ OR TF ~TRUCTTON CI[~S FOR A PERZ~ OF <br />FRIIS TI] NEET P/t REgU;REHEI~P~ OF STATE L~ ~ fl/b~ZON C{]UNTY ~D[HAHCES. UPOH <br /> <br />************************************--********************************* <br />D[INDA~)3 E ~[I[I~[FY~ NARTON COUNTY RUTLDTNR~. OFFTC[~L / BY DSTONE/~7~ <br /> <br /> <br />