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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: 588-79O4 <br /> <br />I am performing work on a property I Own or Occupy. <br />~ am a registered builder OR the authorized representative <br />of e registered builder, <br />The work will be Oedormed by a registered builder, <br />Other. <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> 615 MAIN ST .... CONT~-C~? ....... I'~'¥~F '6~0'15~,~1~"~6~'D; <br />............. fJ LI,~ ~ ~./.t. LL?Z ........................ ~._~j ~) 5 ...... jg~S.~'~: .............. L NQ ............................................... <br />USE OF BUILD NG; ~NO. OF BEOROO~S: <br /> <br /> SAHE <br /> <br /> PHONE= '- ' ~' <br /> 749-~.,~7 ~. VRLU~T[Ofl: <br /> <br /> PERNIT OR APPLICATION NO: 47718 <br /> <br />CON'fRACTOR~ NO. (83964 SUPERV]:SIN6 ELECTRIC'lAN/NUMBER <br />LICENSE NO: <br />John ASpeer <br />18764 Hill Creek Rd <br />Auo~sville,~ <br />PHONE: 749-2971 <br /> <br /> ITEM QUANTITY AMOUNT <br />BRANCH CIRCUIT WITHOUT SE~iCE <br />BRANCH CIRCUI Q~T'IOWAL 1 ~,_."~ ~8' <br />ELECTRICAL : '; $i,85 <br /> <br />TYPEs ELECTRICAL <br /> <br /> $8,00 <br /> :::; .:: $38.85 <br /> ! <br /> : :::~,: $8.80 <br /> PAYEE: John A Spt. YOlk .ii]: ,: RECEIPT NO; <br /> <br />SH~LL ~ECOHE NULL ~ND ~, <br /> <br /> REHARKS: 2tCIR <br /> <br /> DONALD E. WOOD;.,E~, MARION COUNTY BdI~_D.[NG,.O, FI~.bA~_ / BY <br /> <br />FORM # MB tS-~ REV. 4JW OFFICE COPY <br /> <br /> <br />