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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588'514T <br /> <br />I am performing work o~ a property I own or ocouDy. <br />of a registered builder, / ~ <br />The work wilJ ~e perfornled by a registered buitder, <br />Other <br />I h~ve read and agree Io the terms stated on the reverse side of gATE; <br />NSS document. <br /> <br /> ADO J'CC*GEE,~ ~,~ JACK <br /> <br /> 10184 EHLEN RD <br />AURORA OR 97002 <br /> <br /> PNONE: 698-1852 <br />LOT: BL00K: <br /> <br />SUBDIVISION; <br /> <br />S;TE NUMBER: 3'124 <br /> <br />' MAP: <br /> <br /> 4- <br /> <br />ELECTRICAL <br /> <br />CONTRACTOR, <br />LICENSE <br />MCGEE, JACK <br />SANE <br /> <br />PHONE: <br /> <br />PER~4I'T OR APPLZCATION NO; 5588 <br /> <br /> SUPERVISING ELECTRICI~/NU~"r~ER <br /> <br /> ITE~ <br />C/I SERV TO 100 ANPS <br />FLEET SURCHARGE -ZONE 8 <br />ELECTRICAL STATE Cc, SURCHARGE <br /> <br />0UANT ~ <br /> 1 <br /> <br />PAYEE: MCGBE, JACK <br />RECEIVED aY: CL <br /> <br />TOTAL ~SSE,.SSED F~ES <br />PRE~/IOOS ~ECEIPTS <br />TR'I'S RECEIPT <br /> <br />BALANCE DU__ <br /> <br /> ' ~ECEZPT NO; <br /> '~YPE~ CK CHECK ~.: <br /> <br />A~[OUN7' <br /> $30_80 <br /> $7.68 <br /> $!.50 <br /> <br />':; 99 .. 18 <br /> $0.09 <br />$39 ": <br /> <br />RE~ARKS: GREENHOUSE 100 A~P R~8249 <br />DONAL0 E. NOODLEY, ~ARICN COUNTY BUILDING OFFICIAL ./ BY ~_~ ......................... <br /> <br />'o,~ ~ ~c ~-~ ~v, e/87 OFFICE COPY <br /> <br /> <br />