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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 />DA'I'E: 03126193 -'"~-' <br /> <br /> 2~ H~L.L ,~,? ...... ~ <br /> DET~?.GIT OR ?~,24.:, ~ ~?y ~ u~j ~OGCUPANT LOAD: <br /> <br /> SAME <br /> FI-,O. IR'r; 769 -~ ~7.. V~L_IJ~'FZON= <br /> <br />'WIDTH; ;DEPTH: AREA: , UNITS: j ,RI~,~, LOT: OORjq~; , <br /> <br /> Iff'b: ~LECT~'~AL PE~MTT OR APPLICATION NO: <br /> <br /> CONTRACTOR,~ NO,, 7~5~7 SUF'ERVIS];NG E ECTR]'CIA~/NL~MBFF~ <br /> LICENSE NO: - <br /> NATHANIEL. ~,, TODD A&E ELEO <br /> 827 S& 38TH AVE <br /> <br /> F:'HONE: 967-9389 <br /> <br /> t'fEH QUANTITY AH[ UN'T' <br /> SE.'VICI:/FEEDER LESS THAN 2e8 AHPS 1 =" <br /> · ~,, k ,, <br /> ~R~N~U,,C,[RCUIT. bJ].fH .~ERVICE OF< F%EDER 18 <br /> m_ Cn . CAL <br /> <br /> TOTAL ASSES.C~ED FEES $73.50 <br /> I:'F;EV Z OL;S RECEIPTS <br /> THIS RECEIPT <br /> <br /> B~L.~NCE DUE <br /> <br /> ......... ,~_[:~ .............. ..................... :,; .............. ::__::.._: ,- . LH~;.(.,K ~-,, .: 46., <br /> <br /> ~ THIS iS A VALIB PER~IT ~ THIS PER~IT EXPIRES 188 BAYS FRO~ ITS iSSUE ~ATE, tF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 9AYS~ OR IF CONSTRUCTION FA El S TO HEET~/L <br />REQUIREMENTS <br /> <br />RI]/HAF3(S: 200.;-;.R :L~/CIR <br /> <br />DONAL.D Iii:.. WOODi,.EY,¢ ?'IA:;C(ON COUNTY .r.,~U:I:L;)IN6 OF'F]:C:I:AI_ / BY <br /> <br />FORM # MD 1 e-~4~ REV, 4/90 OFFICE COPY <br /> <br /> <br />