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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGCN <br /> <br />PHONE: 588-5147 8;00 - 4::30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> /'1 <br />i am performing work on a property Iocm or occup'.,, /// ~ ,.~/_ ~., <br /> <br /> 945 4,r'H srREor <br />AUi~SV I LL6 <br /> <br />OR 9?325 <br /> <br />AUM~VI LLE <br /> <br />NO <br /> <br />R~I DEN [ iAL <br /> <br /> PHONE~ <br /> <br />LOT <br /> <br />Si1E NUfCBER: 11955 <br />VALUAT ION * <br /> <br />NO NO <br /> <br />fYPE: ELECFRICAL <br /> <br />CON[RACTOR, NO. 3964 <br />LiCeNSE NO: <br />JACK'S 8LEC1RIC <br />10764 MILL CREEK RD <br />AUF~SV1LLE 9'1325 <br />PHON~: 749-2971 <br /> <br />PERMIT OR APPLICATiON NO: 29370 <br /> <br /> SUPERVISIN~ ELECTRICIAN/NUMbER <br /> JOHN A+ SP~ER,/1099S <br /> <br /> lIEN <br /> <br />ELEC1RICAL SIAIE ,~JRCHARGE <br /> <br />(~JANilIY <br /> 1 <br /> <br /> 'rOI'AL A,,,,%SE~= 0 <br /> PRl=,¥,t OUS RECEI PlS <br /> 'tHIS R~EIPT <br /> <br /> BAL~CE <br /> <br /> PAYEE: JACK'S ELeCTRiC RECEiPt NO: <br /> <br />~ TH1S 18 A VALID PE~iT * THIS PE~iT ~1~ ~80 DA~ F~ IT8 I~E ~TE, IF <br />~33~CTi~ C~ ~ A ~RIOD ~ 180 ~, ~ IP ~T~Ti~ FAI~ ~O ~ET ~L <br />RE~iR~T~ OF STATE ~ ~D ~RI~ ~NTY BUiLDI~ ~D Z~I~ ~DIN~, THiS PE~IT <br />~ALL B~ NULL ~D <br /> <br /> ~UNI <br /> $60.00 <br /> $3,00 <br /> <br /> $53.00 <br /> $0.00 <br /> $63.00 <br /> <br /> $0.00 <br />310~ <br /> <br />R~MARKS: 125 At~IP R~4781 <br />¢~ONALD E. NOODLE¥, MARION 6%~NT¥ BUILDING OFFiCiAL / BY <br /> <br />OF FICE COPY <br /> <br /> <br />