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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 />I am performk~g work On a property f owl1 Or occupy, <br />larm a registered builder OR{ )thes~thoriZedrebfesentative <br />of a registered builder. <br />The work will be podormed by a registered builder, <br /> <br />DATE; <br /> <br /> 210 YEN ~f __ CONTRACT61TY'. D6B; <br /> AUIvEsv i LLE OR 9'13~5 <br />USE OF eutt~olNG: AUMSViLL~ NO <br /> <br />CAT,GORY: <br /> RES :[ DEN f [ AL <br />OOCUPANCY: <br /> <br />iOOCUPANY LOAD: <br /> <br />PHONE: <br /> <br />SiTE NUCC~ER: 14690 <br />VALUATION: <br /> <br />NO : NO <br /> <br />fYPE~ ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br /> <br />Po BOx 52 <br /> <br />PHONE: 743-,254~ <br /> <br />PER-'~I'F OR APPLiCA'rION NO: 36390 <br /> <br /> SUPERVISING ELECTRICiAN/NUMBER <br /> <br /> ITEM <br />ADOI'f'~ONAL FEES <br />ELECTRICAL STA'T'E SURCHARGE <br /> <br />PAYEE: R & R E"leotrfe in~ <br />RECEIVED BY: CL <br /> <br />QUANTITY AHOUNT <br /> 1 $30.00 <br /> $7.50 <br /> <br />TOTAL ~ED FEE~ <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />$0_00 <br /> <br />BALANCE DUE $0, O0 <br /> <br />RECEIPT NO: 38319 <br />TYPE: CK CHECK ~; 9990 <br /> <br /> THIS IS A VALID PERMIT ~ THI~ PERMIT EXPIRES 180 PAYS FROM ITS iS,SUg DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 180 DAY~, OR IF CONSTRUCTION FAII-~ TO MEEI ALL <br />RE(~UIRIEflENTS OF STATE L.NN~ ,~40 MARION COUNTY BUILDING AND ZONING OROiN~CES. THIS PEF~4IT <br />~gHALL BECOfflE NULL AND VOl0. <br /> <br />REMARKS: ~F'G SVC R~3030 <br />OONALO E- NOODLEY, ~ARION COUNTY BUiLDiNG OFFiCiAL / BY ............................................. ~ .......................... <br /> <br />OFFICE COPY <br /> <br /> <br />