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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGQN 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />lamareglsteredbuilderOR( )theauthorlzedrepresentative <br />of a registered builder, <br />Thewokw bege or~nedbyaregseedbulder <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> birr'. I UGB,. <br /> AONSVILI, E OR 97325 <br /> ~r~0 OF BEO~OOMS <br />, <br /> <br /> PO BOX 18182 : <br /> SALEM 97305 i SITE NUMBER: <br /> F'H8NF: 39[~-8790 ! VAI_UATION: <br /> <br />', .............. I .................... L .......... 1_..6Z~ J ....... Ct.C. ............. i.....NO ...................... J.... ,.,NO ......................... <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 55355 <br />LICENSE NO: <br />I8I Inc <br />468 SnoopE Ln NE <br />Salem, ~73~1-00~0 <br />PHONE: 55~-~761 <br /> <br />PERMIT OR APPLICATION NO: 46822 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED NOMIF_ SERVICE/FEEDER <br />ELECTRICAL. STATE SIJRCNARGE <br /> <br />QLIANTII'Y ANOUNT <br /> I $40.00 <br /> $2.00 <br /> <br />PAYEE: I$I Inc <br />RECEIVED BY: PM <br /> <br />TOTAL ASSESSE~ FEES <br />PRE~':[OU8 RECEIPTS <br />THIS RECEIPT <br /> <br />$4,_. 00 <br /> $0.00 <br /> <br />BALANCE ]DUE $0.00 <br /> <br /> RECEIPT NO: 49~'70 <br /> ............ = ........ ;:_ .......... ~ .............. TYPE: CK CFIECK ~: 1306 <br /> * THIS iS A VALID PERMIT ~ THIS PERNIT EXPIRES 188 DAYS FRON ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR::~A PERIOD OF 18~ DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWSANB HARION COUNTYBUILDING AND ZONING ORDINANCES~ THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARKS: NS SER <br /> <br />DONALD E. WOODL, EY, <br /> <br />MARION COUNTY BUILDING OFFICIAL <br /> <br />BY <br /> <br />FORM # MO 16-1~ RISC, ,4A~ OF FICE COPY <br /> <br /> <br />