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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 />of a registered builder, <br /> <br />Other <br /> <br />this document <br /> <br />OWNER <br /> KANE~ HIDEWAY/~AJ'4 LAMONI' <br />SITES ADDRESS <br /> <br />RESiDENIiAL <br /> <br /> 530 CLESfER RD <br />DbfROif <br /> <br />PO BOX 572 <br />DEINOIT OR 97342 <br />PHrJN~: 854-2362 <br /> <br />LOT BROCK <br /> <br />11 8 <br /> <br />OR 9~'L442 t ~ <br /> NO <br /> <br />lYRE= ELECIRICAL PERMIF OR APPLiCAFION NO; <br /> <br />38583 <br /> <br />CONiRAC~OR, NO. 58969 <br />LICF-.:NSE NO; <br />Wfllllam I Crawd-ord <br />Po Box <br />5%ayt;on 9'¢383-0000 <br />PHONE: ~69-9431 <br /> <br />SUPERViSiNG ELECIRIC~AN/NUI~ER <br /> <br /> iIEM <br />SERVICE/FEEDER L~5,5 IHAN 200 Af4~ <br />BRANCH CIRCUiI, WiIH 5ERVICE OR FEEDER <br />ELECfRICAL ~[AfE SURCHAR'~3E <br /> <br />QUANIIIY AIvlOUN~ <br />1 $50.00 <br />10 $20.00 <br /> $3_50 <br /> <br />TOIAL A~SE~ED FEE5 <br />PRE¥IC~d~ RECEIRFS <br /> <br />$73.50 <br /> $0.00 <br />$73.50 <br /> <br />BALANCE DUE $0. Or,) <br /> <br /> PAYEE: william f Craw~ord RECEIP'¥ NO: 40531 <br /> RECEIVED BY: c'l lYRE: CK C~ECK ~; 213t <br /> <br />~ THiS iS A VALID PER~iT * THiS PERi,lIT EXPiRE~ 1BO DAY~ FROt4 iTS i~E ~TE. IF <br />~T~CTI~ C~ EOR A PERIOD OF 180 ~YS, OR iF ~T~CTI~ FAI~ TO MEET ALL <br />~iR~TS OF ~TATE ~ ~D ~RI~ ~NTY BUILDING ~D Z~ING ORDiN~C~, THiS PE~IT <br />~ALL 8E~[ NULL ~D <br /> <br />RE~C~RKS: 200< 5VC - 10 ClR <br /> <br />OONALL) b. WOODLEY, MARION COUNIY BUILDING OFFICIAL / BY <br /> <br />OFFICE COFY <br /> <br /> <br />