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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM1 OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br /> 24 HOUR CODE-A-PHONE: 588-7904
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<br />I am a registered builder OR ( ) the e~uthorized representative SIGNATURE OF APPLICA..,.. ,.
<br />of a registered builder,
<br />The work wiB be performed by a registered builder.
<br />Other.
<br />I have read end agree to the terms stated on the reverse side of DATE;
<br />this documeAt,
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<br />TYPE: ELECTRICAL
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<br />,.,[.,Il T I,(.,[.,. 0,4 ,¢ Hi-),,
<br />HUIq []..I ? ,h.,h[
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<br />PERHZT OR APPLTCATION NO: 465?8
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<br /> oL., .F Vl ~ll, ELEC"['I:<ZC]:AN/WUt'i})ER
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<br /> :[ T E N
<br />!JERVi[CEi/FEE~ER;:'-c'c'.~o 'tFIAN 20~
<br />BkA,..Ctl C,;.,u.,UI,,, W,.T,-~ ,~Et,,.[..,E. EtF~ F'EF_"DER
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<br />$S, 30
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<br /> '.: !::: !: !::: ~ [,:; !! ,,,, !! ~ ::,,,,,, ~ E~. .,,.... ~ I& ~:%}:~: :: ~: ::::::::::::: ::::: ::: :::: ........... :. ~ ',,,. ',: :,,,,,, ~:: ¢ ..._.. ~:: ~'_.: :: ii:: .._ ! :: ......................... ::~ .........
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<br />CONSTRUCTION C~A~S , OR A PERIOD OF 18~ DAYS~ OR :F CONSTRUC-ZON FALLS TO ~EET ALL
<br />REBUZR/MENTS OF S~ATE LAWS AND MARION COUNTY BUILDING AN9 ZONZIflG ORDINAWCES~ THIS PERMIT
<br />SHALL BECOM~ NULL AND VOID.
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<br />DO!qA!..D ~- WOODL.!:;¥,, 14~F;:]:I],!'4 I...~ TY T_!U]:L.D:N~ ..,FF'.~...I. AU / BY
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<br />FORM # MC 15.58 REV, 4/~0 OFFICE COPY
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