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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NC). 225 <br />220 HIGH STREET NE <br /> SALEM, ORF,GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: S88-7904 <br /> <br />I am pertorming work on a property I own or occupy, <br />lamareglsteredbullderOR( ) the authorized representative <br />of a registered builder, <br />The work WIll bo perfocmed bY a reglctered buitder, <br />Other <br />I have read and agree to t~e terms stated on the reverse side of <br />this document, <br /> <br />OREGON ~LOWERS INC 4~648=0~ ; ,Al <br /> 207,.7 HIOH~AY 99E NE ' <br /> <br /> F'O BOX ~11 <br /> AURORA OR 97~82 SITE NUHBER: 9~-~1152 <br /> PHONE: 678~2580 VALDATION: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION HID: 49&15 <br /> <br />CO~!!TRACTOR, NO. 50829 <br />L I £,I::NSE NO: <br />,J R <br />F'O Box 266 <br />~ubbard., 97032-0000 <br />FHONE: 981-39].3 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> Il'EH <br />SERVICE/FEEDER LESS 'THAN 200 AMPS <br />BRANCH CIiRCUIT, WITH SER¥]:CE OR FEE:OER <br />EL.I:_::CTR'I:CAL STAI'E SURCHARGE <br /> <br />QUANTITY AMOUNT <br />i $50..00 <br />10 $20,00 <br /> $3.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$73.50 <br /> $0,00 <br /> <br />BALANCE DUE <br /> <br />$0.00 <br /> <br />PAYEE: J R Electric RECEIPT NO: 51978 <br />kECEI/ED BY: DM2 TYPE: OK CHECK ¢: 6112 <br /> <br /> ~ THIS IS A VALID PERMIT · THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDiNANCES~ THIS PERMIT <br />SHALL BECOME MULL AHD VOID. <br /> <br />REMARKS: SERVICE & 10 C]:R <br /> <br />:DONALD E, WOOI)LEY, MARl:ON COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />