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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM; OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I~m e regJs~eced builder OR( )theauthorlzedrepresentative <br />Other <br /> <br /> WA!'~I.IRE, ~ '" <br />ADDRESS; <br /> <br /> fax LOTi ............ I CATEGORY: <br /> ............. ~ES ]:DE~]'iAJ <br />CONS¥~UC¥10N TYPE OCCUPANCY: <br /> <br /> I T LOW ~ <br />CONTRACT ..................... CITY; UGh: [ OOCUPAN · 6, <br /> <br /> ~ARZON COUNTY <br /> <br />SUBDIVISION; <br /> <br />SAHE <br /> <br />F:'H 0 FIE: -' n :" <br /> 749-,~.6.6 <br /> <br /> BLOOKi i~ECTION ........ ~bWN~RJP' <br /> ' 25 ................ <br />· !oo ............... ~..:.~, .... ~.,,,.eo. SF <br /> <br />SITE NUMBER~ 9~-012~ <br />~ALtJAFtON. <br /> <br />RANGE ...... [~6~ ~AP' " <br />.............. ................... <br /> <br />TYPE: ELECTRICAL <br /> <br />PERMIT OR APPLICATION NO: 47477 <br /> <br /> SUPERVISINI; bT,,.E'C T R t C ]; A R / N UHT4!i];~ <br /> <br /> I T E Pi <br />SERVICE/FEEDER I...ESS THAI,I 200 AMPS <br />,,.kANCH C],]'d.~.[~,, W,~TH SE, kV].CE OR FEIr. DE~ <br />ELECTR];C~L, STATE ~URCFIARGE <br /> <br />I AYL,E,, ] acif.,,¢ !.,oas~ "~ .~ "-' ' <br /> E,,.e, co ].c <br /> <br />TO'f'AL A,t~SESSED FEES <br />PRE?([1U~ RE( EIPI'S <br />'i?'i I B RECEIPT <br /> <br />BALANCE DUE <br /> <br /> RECE',I;VEO ';~Y'.', D~2 ................................................................................. TYPE: CK CHEC,k ,~,; 64.,,0 <br /> <br /> * THIS IS A VALID PER,IT , THIS PERHIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. tF <br /> <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />SHALL BECOME N~LL <br /> <br />REMARKS: S~,RVi..E/4 <br /> <br />gI,,I,IALD E,, W'.'_')ODL_EY,; ~ARIOhi CtUIx~Y BI [i_DUII.~ OFFICIAL / BY <br /> <br />~o~ ,~ ~c ~s.~ ~EV. 4~0 OF FICE COPY <br /> <br /> <br />