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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 />°~b'~r~ o8/o6/91 <br />ST sAnOR6o~REEN, JO[: <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />I 168b FALCL~'N <br /> <br />OR <br /> <br />NE <br /> <br />!vIARiON COUNTY NO <br /> <br />20 N/~LKLNG ~OL)D DR <br />LAKE O~¢/~bGO 97035 <br />PHONL: b36~"'/918 <br /> <br /> CENTURY ~AOOW~ <br /> <br /> ~iI~ NUMBER: <br />~AN~LUAIi©N: ZONE <br /> <br />MAR <br /> <br />ELECIRIC~L <br /> <br />PERMIT OR APPLICA'tION NO: 34269 <br /> <br /> ~¢JP~RVI~iNG ELE(¢fR[CiAN/NU~UER <br /> <br />NIANUPACfURED HO~D SERViCE/FEED[:R <br />L':L[:CIR~CAL ~TAIE SURCHARGE <br /> <br />QUAN/IIY ,NvlOUNT <br /> 1 <br /> <br /> fOiAL A~D~EO <br /> PREVIOUS R~C~IF>T5 <br /> THIS NEC~IPT $36 ?5 <br /> <br /> MA~ANC[: DUb <br /> <br /> PAYEE: GREEN. JOE R~CglPf NO: 36148 <br /> R[:CEIVED BY: CL2 lYRE: CK CH[:CK ~: 239 <br /> <br /> THiS IS A VALID PER,liT * THIS PERMIT ~XPIRES 180 DAYS FR~M iTS I.~JE DATE. iF <br />~S[~CTi~ C~ FOR A PERIOD OF 180 DA~, OR ~F ~ST~CTI~ FAi~ IO MEET ALL <br />REdIReCTS OF STATE ~ ~O ~RI~ ~NTY BUILDING ~D Z~ING ORDiN~C~, THIS ~IT <br />~ALL BEdE NULL ~ VOID, <br /> <br />REMARKS: MH SVC ON UNIT R~6'F20 <br /> <br />f)ONALD ~. WOODL~Y. ~ARiON CC~N~Y ~UILDiNG Qf"PICI&L / MY..~-.~ <br /> <br />FORM # MC 15-56 REV 4/¢0 OFFICE COPY <br /> <br /> <br />