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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 />lamaregisteredbuilderOR( )theauthori[edrepresentative <br />of a registered bvilder. <br /> <br />Other <br /> <br />I have read and apree to the terms stated on the reverse side of <br />this document. <br /> <br />USE OF BUILDfNG: <br /> <br />TYPE: ELECTRICAL <br /> <br />PERMIT OR APPLICATION NO: 48040 <br /> <br /> ~UI E <V.[oi · ELE"CTF~ICIAN/I,IUMBIii:R <br /> <br /> l T E M <br />,,LRV.I, CL?F1;J;,~IL~ LESS I'H~t,.t 21~0 ~M~,~ <br />1,:~RAIq. CH CI, ROUIT., WITH ~ER~[OE OR FEEDER <br />EI,,,E(.TRZCAL STATE SURCHARG~ <br /> <br />(t U A N T :[ T Y <br /> <br /> TOTAL A,r..;SESSEI)F'[ES <br /> P:~EV[O~_ S RECEIPTS <br /> :TI:ii S Ri:!:CE I PT <br /> <br /> BALANCE DUE <br /> PAYEE: BC EI,_EC'TR;]C CO' RECEIPT NO: <br /> RECE:[VED BY: Cf ltYP~j= CE CHECK <br /> ~ THIS IS A VAL~ PERMIT ~ THIS PERMIT EXPIRES 1'88 BAYS FROM ITS ISSUE DATE. IF <br />REQUZREMENTS E LAWS AND MARION COUNTY BUIL~ING AN~ ZONIN~ ORBINANCES~ THIS PERMIT <br />9HALL B[COME NULL ANB <br /> <br />DONAI,..O E. <br /> <br />W[,,3DLEY~, 14,cR:,:OI.[ COLIN'fY BUILDING OFFZCIAL <br /> <br /> <br />