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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET N,E <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514-7 $:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />I am per ormlng work on a proper y I own or o6oupy, <br />l am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work W~II be periormed by e registered builder, <br />Other <br /> <br /> · [6 ........ 7 ! TAk t-Of; ....... <br /> <br />I::'H(]NEtt 749-t249 <br /> <br /> '7~ t ' 95 <br /> <br />TYPE: ELECTRICAL <br /> <br />o ,.I F ,.t ~/...~ ,., i,h. ~.~ i.,, ~:- C 'l'k' ]: I:; ii: A I'.; / I,I t.) M !-;~ i."L )~' <br /> <br />RES ~'_t;R!.NI} < 1,0rZ~O <br />L. LE. C71 ,[ [,A,,, c~ f A f I;:, SIJECHARgE <br /> <br />QiJ AI,I'T'iI; 'f' Y A~lf: UN'T <br /> ...... O/it <br /> <br />F'A'YEli[~ ;~ac,,~. I.¢.c Coa~-;'l- E].ec-!:r'b_': linc <br />RECE'IVEI) Ii f; , , , <br /> <br />TOTAl,. ASSEOSEI) FEES $iii9,,25 <br />THIS ~t~SCE~P'I' ~;t~l'?,. 25 <br />BALAI,.ICE DUE $~,,, 0(% <br /> <br />COf4STRUCTIOH CEASES FOR A PERIOI~ OP 18e ])A¥S, OE IF COHSTRUCT.t08 ~All.$ ]'~ ~EET ALL. ~ <br />REgUIREflEf4TS OF STATE LAWS AND MARION COUHTY BUILD'~flG AI4D ~O~ING O~HA~,ES~ THI~ PE~IT <br />SHALL BECOME NULL AHI) VOl]). <br /> <br />Y)OFIA I) "!:,. ,vd,..H),,,,l::,(, ~AF;::I:,¢)!'.I COUh!TY Zd.;ILD]:N' f)F:'I::'-".':CZ.41_ / !~Y ..................................................... <br /> <br /> <br />