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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PI~ONE~88-5147 B:O0 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />i am pe arm ng we k on a property I own o¢ oocugy,
<br />I om 8 epl$ 8red builder OR the authorized representative
<br /> e a registered builder,
<br />l'he work wdl be performed by 8 registered builder.
<br />Other ........ --
<br />
<br />OWNER;
<br />
<br /> TAX LOT: CATEGORY:
<br />
<br /> CO ~ CTION TYP :
<br /> '1~; y, · , f.' ocouP^.oy:
<br />
<br />CONTRACT CITY: UGB: OCCUPANT LOAD:
<br />
<br />use OF evg-p~A~IM,SVT, , E' FIR9='75,," ~,~
<br />
<br />366], MARYI_AND PARK WAY
<br /> .~ :: r ~'~' ~ SITE MUMt~ER:
<br />
<br /> MAP:
<br />
<br />AREAl UNiYS: I~l~G. LOT; ~ORN[R:
<br /> ?~'~ 8[¢ 1 W EF'll 48
<br />
<br />NO I,lO
<br />
<br />TYPE: ELECTRICAL,
<br />
<br />I,Ol,I l RACT .lit,,
<br />
<br />'ShUf.:,HMhh[. [;¢:R hl...'l)
<br />S66~ MARYLAND PARK WAY
<br />I.Af.; VEl;AS, NV 89'1.~9
<br />PHONE: 7~:,;655
<br />
<br />~;IJFIERV ]: S Z N(; EI.,CCTR t: C (AN/NUMBEI'~
<br />
<br /> ]: f I!!:H
<br />· F.,I(V.II.,I.-_/FI:,,,I:)')I I:~ I_.]:S,.g THAN 2(~0 AMPS
<br /> ~ EEO,,R
<br />F{RANCH [.::[F~CUi[f,, I/J]:tl..] SERVICE OR .........
<br />
<br />F'AYE;E: C(]i_EHAH BROTHERS
<br />
<br />TOTAL A,:~,SE, S.~ED FEES
<br />PREV:[OIJ!~ RECEIF'~'FS
<br />{'FC[ S RECEIF"f
<br />
<br />QUANT I TY AM{XJN'T'
<br /> ]. $50. OW
<br />
<br />$73.50
<br /> $0.00
<br />
<br />DAI..A,ICE PI.IE $0., 0~)
<br />
<br />47925
<br />
<br />........... ' "' ' ' 1226
<br /> kI.CE.[VFD ICY: DH...................................................................................... TYI':'I'Z: [::K (,Hf:,(,k ¢,;: ....
<br />
<br />* THI~ TS A VAL, I~ PERMZT * THIS PERMIT EXPIRES 18~ DAY8 FROM ITS ZSSUE D~TE, IF
<br />O'.}bh 3) ;-:.., Wr)O~)U~:Y,~ M~RIt'.)N COUHI'Y B]~L~)~. ~, SFF~C.~ / ~:~'~ ................................................
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<br />OFFICE COPY
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