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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97.~01 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4;30 P.M. - 8:00 A.M, <br /> <br />I am a registered builder OR( ) the authorized representative <br />of a registered builder, <br /> <br />Other <br /> <br />J have read and agree to the term8 stated on the reverse side Of <br />this document. <br /> <br />NCRTH MARION GRAADE SCHOOL <br /> <br />CATS~O~Y; <br /> <br />OCCUPANCY: <br /> <br />R <br /> <br /> 2023? GRiN ROAD NE --i°ccuRANT <br /> AURORA OR J , i <br />USE OE SUIt. SING: <br /> <br />PHONE: <br /> <br /> I SUBDIVISION: <br /> <br /> SITE NUMBER: 2/J, 8 3 <br /> :~ VALUATION: <br />!SECT'ION: ..... )TOWNSHIP; ; .... I, F~G~: ..... ~XP: <br /> <br /> ; , ~ NO ~ NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR NO. 8281 <br />.ICENSE NO; <br />ENGEL.HAN ELECTRIC <br />P_O. 8OX 451 <br />!4UBSARO. OREGON 9?032 <br />PHONE; 9S1,~904! <br /> <br />PERMIT OR APPLICATION NO: 4242 <br /> <br /> SUPERVISING ELECTR[CIAN/N[HBER <br /> N~. ENGEL~AN <br /> <br />TNO OR ~ORE NEW CIRCUITS;ALT OR EXT <br />FLEET SURCHARGE -ZONE $ <br />ELE~TR;CAL STATE SURCHARGE <br /> <br />QUANT[TY AMOUNT <br /> 1 $20.00 <br /> $7,68 <br /> <br />:' TOTAL ASSESSED FEES $28.,58 <br />PREVIOUS RECEIPTS $0,0C <br />THiS RECEIPT $28.68 <br /> <br />PAYEE.; ENGELMAN ELECTRIC \x,~ RECEIPT NO; 4,799 <br />RECEIVED BY: DF4 ........ , ,,,:L--~_--_~ ........ _~'".:~P(PE; CK' CHECK ~: 8530 <br /> <br />~ ~IS IS A VALID PE~IT ,* ~ :ITS I~E <br />~ST~CTI~ C~ FOR A P~IO~ OF 1~0;~ OR IF:*~ST~CT~ FAI~ TO ~ ALL <br /> <br />RE~Af~KS: 2 CIR <br /> <br />ORDINANCES, THIS PEtiT <br /> <br />00HALO E, <br /> <br />¢)OOOLEY, ~AR~'ON COIJNTY <br /> <br />FORM ¢* MC 15-56 REV. 8/8! <br /> <br /> <br />