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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH ST~REET bJE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4730 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />i am a registered builder OR ( ) the authorized ~epresentative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other <br /> <br /> DATE: 06/03/92 TIRE.' 15:05:20 <br /> <br /> 425 ~U~ s'r E <br />~'~u~E ..... 0~' ' ~'~2 ................................. <br /> ~NT ~GEL NO <br /> <br />RESJDENTIA <br /> <br />NO. OF <br /> <br />PO BOX 802 <br />· ' ~T. ANGEL OR <br />'LOT' ~E: 84~ .............. ~CYI~N'. .......... '. .............. ' ........ , ~ ' , ' ' · <br /> <br /> ~ ~A~AF~ <br /> <br /> 1 ag 100 10000 . ~F NO NO <br /> <br /> TYPE: ELECTRICAL PE~iT OR APPLJCATi~ NO: 40383 <br /> <br /> ~T~CTOR, NO. 06281 <br /> LICENSE <br /> William K <br /> ~ Box 45t <br /> Hub~d, 97032-o000 <br /> ~E: 981-8041 <br /> <br /> [ 'r~ <br /> <br /> B~c~ Ct~[T, N[TH~T SE~[CE OR PEEDER ~ EA~ ADDJTJ~AL <br /> ELECTRICAL STATE ~A~E <br /> <br /> TOT.AL ~BB FEES $38.85 <br /> <br /> ~A~CE <br /> <br /> PAYEE: ~i"l'tlam K ~ge'J~n RECE[PT NO: ~? .~ <br /> REOE[VED BY: <br /> <br /> ~ALL 8~E NU~ <br /> <br />SUPERViSiNG ELE"CTRICIAN/NU~.~/ <br /> QUANTITY ~ Ai'flOUN I' <br /> 1 $35.00 <br /> <br />REMARKS: 2 CiR <br /> <br />DONALD E. IAvJODLEY, MARION COUNTY BUiLDiNG OFFiCiAL / BY' <br /> <br /> OFFICE COPY <br />FORM # MC ~ 5.56 REV. 4,90 <br /> <br /> <br />