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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLOG. NO. 225 <br /> 220 HIGH STREET NE .- <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: ,,588-5'{47 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder, <br />Other <br /> <br />,OW~E~: (-,El'l*l'7,,1 Ei% I)01;I <br /> <br /> ,,6',.,_{ I0, IER ;~I) <br />,qUMSV;f] .I.. E <br /> <br />:[066Z POR'Tr_-':R I:~) st; <br /> <br />LOT; <br /> <br /> ....... d~t~$YRt.)STIO'N fYI~E} .......... I b'~OO~¢ANCY: <br /> r <br /> <br /> SITE NUH~E~: <br /> <br />6 ~S ~{~ ~ El- l.J ] 62 <br /> <br /> . NO ~ NO <br /> <br />TYPE: ELECTRICAL <br /> <br />PERMIT OR APPLICATION NO: 45984 <br /> <br /> SOF'ERVISING ELE:CTRICi~N/NUH~ER <br /> <br /> I TEH <br />SERV:i:CE/FEEI)f_::f~ LESS THAN 20~ AHF'S <br />:{ ~ ...... , .... e" % '" <br />[R~NCH CZF*CU,[~,, W,[1H oER/~CE. OR FEEDER <br />ELECTR~OAL STATE SURCHARGE <br /> <br />TOTAL ASSt--;SSE~ FF;ES <br />PREV];OUS RECEIF'TS <br />'tH:IS EECE;~:PT <br />BALA~flCE Pt. IE <br /> <br />I~UANTII'Y <br /> 1 <br /> <br />AHOLJNT <br /> $50,,~0 <br /> $2.00 <br /> $2.60 <br /> <br /> $0.00 <br /> !~54.60 <br /> ~0.,00 <br /> <br /> F'AYE'E: Fac. f~_ Coast' E],eci:'r;i,c .[i .... ,RECEi'[F'T NO: 4~:I;itil7 <br /> RECEIVE~ BY~ ~ TYPE~ CK (;RECK ~h: 6275 <br /> <br /> ~ THIS IS A VALI~ PERMIT ~ THIS PERMIT EXPIRES 1Be ~AYS FROM ITS ISSUE DATE. ~F <br />COM~TRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR iF CONSTRUCTION FAILS T0 MEET ALL <br />REQUIREMENTS OF STATE LAWS AN~ MARION COUNTY BUILBING AN~ ZONiN60~BINANCES, THIS PERMIT <br />~HALL BECOME NULL ANB VOIB. <br /> <br />REHAI:~KS:~ SERVIOE ¢~ i C,T,R <br /> <br />Dt]N~I,,;O E,, Wf_IOD ~::.Y, HARI('IN t~,ug!lYf¥ [tUZL, I),T, N60FF:I:C];~L / BY ..................................... <br /> <br />¢O~M # MC 15-56 REV, 4/~0 OFFICE COPY <br /> <br /> <br />