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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NC. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 '8:00~ ~30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br /> <br />Other <br /> <br /> WIL~qES, PATRiCiA ~ 40238-000 RESIDEN ¥i~ <br />SI'(OS ADDRESS; ; CONSTRUCT ON TYPE ! OCCUPANCY: <br /> <br /> 10268 CHAMPOEG RD NE ?~'~Y~,~¥'6i~,~i 16C~PA~T Lo~61 <br /> OR 9?002 ~ ..... ~' . '. <br /> N~AU <br /> <br /> AU~ OR 97802 <br /> ~ONE: 6?8-5397 SiTE NUmaR: 92-02101 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 06281 <br />LICENSE NO: <br />Ni'l'liam K Engelman <br />PO Box 451 <br />HubbaPd, 97032-0000 <br />PHONE: 981-8041 <br /> <br />PERhlIT OR APPLiCATiON NO= ~0387 <br /> <br /> SUPERViSiNG ELEC'f'RIC[AN/NUIV~ER <br /> <br /> ITEhl <br />IV~,NUFACTURED HO~vlE SEk'%/ICE./FEEOER <br />ELEC'fRiCAL STATE SURCHARGE <br /> <br />QUANTITY Afc/JUNT <br /> 1 $40.00 <br /> $2~oo <br /> <br /> 'rOTAL ASSE~ED <br /> PREVIQUS. RECEIPTS $0.00 <br /> 'tHIS RECEIPT $42.00 <br /> <br /> BALANCE 0~JE. $0.00 <br /> <br /> PAYEE: William K ~_.~ge-lman R6%EIP'r NO: 42491 <br /> R~E~VED BY= ~2 ........................................................................................ TYPE: CK CHECK ~: 2581 <br /> <br /> ~ TH[S [8 A V~ID ~[T ~ TH[8 P~ZT ~PZ~' 180 ~ <br />~T~TZ~ C~ ~ A ¢ER[O0 OF 180 ~¢ OR [E ~T~CT]~ EA[~ TO ~EET ALL <br />~IR~T8 OF STATE ~.~D ~i~ ~ ~ILOI~ ~O Z~i~ ORDIN~C~, THIS PE~[T <br />~ALL B~E <br /> <br />RE~ARKS: PH SERVICE %j <br />DONALD E. NOODLEY, ~!ARiON COUNfY BUiLDiNGOFFiCiAL / BY ............................................................. .._...~.... <br /> <br />OFFICE COPY <br /> <br /> <br />