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MARIONCOUNTY BUILDING <br /> <br /> 3150 Lancaster Dr. NJ;~. Suite C · Sale~, Omgo~ 97305-1398 <br />Office Hourm 8;00.4:30 · Phone: {Ii03) 588-5147 ,~ 24-HR fllmpecUon Une: (503) 3~73~4427 <br /> <br /> ELE~TRI~M. J~IT <br />; IE/l~/~8 15=11 <br />~ Resident. ~ddi~ion/altera~ion <br />; R-3 <br /> <br />PAGE I <br /> <br />WORK gESC ..... F-P~R£C-ITEPC~CEMERT ....................... EOCNTORF-BB~g32N"'~7J~-N <br />SITE ADDRESS = CITY: MARION COUNTY <br />8293 ~OLPCL.UB RD SE AM <br /> <br />TAX ACCOUNT <br />OWNER : SCHWINDT ANNETTE <br />APPLICANT : JUDSOHS IHC <br />ADDRESS : PO BOX 12667 <br /> <br /> SALEM, OR <br /> PHONE ~ 363-4141 <br /> <br />CONTRACTOR : ,JUOSONS <br /> PHONE <br /> <br />ELECTRICIAN <br /> PH~ ~ ~63-4141 <br /> <br />973~9 <br /> <br />SIJPV Et~EC : KUHL [~h~LD W <br />PHONE : KUHL DONALD W <br /> <br /> OCCB= ~346B4 <br />CONTRACTOR LICENSE: 24-18C <br />SUPERVISOR LICENSE: 13679 <br /> <br />up <br /> <br />1 State surcharge 2.50 <br />1 Refund .~0 <br /> <br /> Assessed fees = 52.50 <br /> ~ Adjustments : .~0 <br /> · Total fees' : 52.5~ <br />PAYEE. JUDSONS INC TotalpaX~mnts~ 52,50 <br /> <br /> ** ***************************************************** <br /> OF~E~, ! t~ CF.~ES FOR ~ ~ 11; ~ee ~YS. ~ IF ~ <br /> <br />SI~HATU~ OF APPLICANT= <br /> <br />DON~ALD E WOODLEY, MARION COUNTY BUIL~INB~ OFFICIAL / BY MBULL <br /> <br /> <br />