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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; 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registereiit builder, <br />Other,.,,,; , <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />~ELL ~ARE1 <br /> <br /> I SITE NU~I~ER: 14401 <br /> I VALUA F I ON: <br /> <br />AREA: i UNITS: IRR[G. LOT: i~ CORNER: ' <br /> NO : NO <br /> <br />TYPE: ELEC'FRiCAL <br /> <br />CON'f~C'I'©R, NO_ <br />LICENSE NO: <br />JU[;.~'S INC <br />PO 8OX 12669 <br />~ALEM~ OR 9?309 <br />PHONE: 363-4141 <br /> <br /> PEF~4i'I' OR APPLiCATiON NO: 35?38 <br /> <br />34604 SUPERVISING ELECTRiCiAN/NUMBER <br /> OONALD W. KUHL/1369-S <br /> <br /> tfEM <br />SER~iCE/FEEOER ~00 Ar4PS OR LESS <br />ELECTRICAL STATE ,f~JRCHAR~E <br /> <br />PAYEE: JUiXSON'S INC <br />RECEIVED BY.: r48 <br /> <br />QCJAN'I'iTY ,~FJ'tJNl' <br /> $35.00 <br /> <br />· ;EOTAL,.,.A,~ES~ED FEES <br /> pREViOUS RECEIPTS <br /> <br />$36 _ 75 <br /> !o. o <br /> <br />BALANCE ~JE $0_00 <br /> <br />RECEIPT NO: 37653 <br />TYPE: CK CHECK ~: 15172 <br /> <br /> *THIS IS A VALLE PEI~IJT ~,: THIS PER~IT.'iD(PiRE5 180 iDA~ F:RC~ ITS ISSUE DATE. <br />~5T~CTI~ ~ ~I~iOD;OF:ISO~..:O~ IF ~TBCTi~ FAiG TO ~EET ALL <br />~IR~TS ~F STATE ~?,~D~RI~ ~ 8UI~iNG :~O Z~ING ORDIN~C~. THIS ~IT <br />~ACL 8~E UEL <br /> <br />REMARKS: 100 ANPS, R-7111 <br /> <br />DONALD E. ~OODLEY, t4ARiONCOONi:¥ BUiLOiNG OFFiC~AL / BY _:: ....................................................................... <br /> <br /> <br />