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MARION C~ BUILDING INSPECTION <br /> <br /> 3150 L~ncaeter Dr. N.E. · Suite C. Salem, Oregon g7305,-13.96~ <br />Office Hour.: 8:00-4:30 · phone: (~}3) 588-5147 · 2~-HR In~peCUon Line: (503) 373.4427 <br /> <br />SITE ADDRESS ~ CITY: MARIONCOUNTY <br /> 5824 SHAW HY SE AM <br /> <br />'lAX ACCOUNT <br />OWNER <br /> APPL)CANT <br /> ADDRESS <br /> <br />5~057-089 <br />KUgNZI~EDWARD A & MARCELLA A <br />INTERSTATE ELECTRIC INC <br />PO BOX 7~42 <br /> <br /> SALEM~ OR 97383 <br />PHONE : :~93-222~ <br /> <br />CONTRACTOR <br />PHONE <br /> <br />. INTERSTATE ELECTRIC INC <br />: 3?3-2223 <br /> <br />FLECTRICIAN <br /> PHONE <br /> <br />: INTERSTATE ELECTRIC INC <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br /> <br />0117121 <br />24-354~ <br /> <br />SHPV ELEC : ADAMSON ARLIN ERNEST SUPERVISOR LICENSE: 1479S <br />PHONE : ADAMSON ARLIN ERNEST <br /> <br />Description <br /> Branch circuits. <br /> State surcharge <br /> Refund <br /> <br />· Fee <br /> <br />2.75~ <br />.90 <br /> <br /> Assessed fees : 57.75 <br /> Adjustments : <br /> Total fees, : 57.75 <br />PAYEE: INTERSTATE ELECTRIC THC Total paxments: 57.75 <br /> Balance ~ue <br />THIS PERltIT IS NON-TRNJSFERA~LE AND EXi~IRE5 188 ~Y5 ~ I~ D~TE IF ~ HAS <br />F~kSTO ~ ~L ~QU~RE~ STATE~ ~~ <br />WRIT <br />S~H~URE OF APPL~CnNT: ~ <br />P N. AID E WGODLEY~ MARION CO{tNTY BUILDINBG OFFICIAL / BY MMEYER <br /> <br /> <br />