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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 />I Am a registered builder OR ( ) the authorized representative <br /> <br />The wc, rk will be performed by a registered builder. <br />Othe~ <br /> <br /> F') BOX 82~ ~ <br />~ PHOHE: 928~S395 ~ V~LU~T][ON: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTR.A. CTOR, biO. 64761 <br />LICENSE <br /> Mar tiY~ Bt-om <br />g:L&t[~ CoM~erci~'q',i, St <br /> <br />FHONE: 564 ..... J,J. <br /> <br />PERMIT OR APPLICATION ~0: 47774 <br /> <br /> SUPERVISING ELECTR}:C tAN/NUNBE'R <br /> <br />SIGN OE OUTLINE LIGHTING <br />ELE'CTRICAL ,~TATE SURCHARGE <br /> <br />QUANTITY A~OLIN'T <br /> 1 $40~ <br /> <br /> I'OTAL A~SESSED FEES $42.00 <br /> PRE~IQUS RECEIPTS $~. 00 <br /> Ti-IlS RECEiF'T $42, <br /> <br /> BALANCE DUE $0.08 <br /> <br /> PAYEE: Mar~in BFos Inc RECEIPT NO: 5¢065 <br /> ~ECE1VgD BY: CI,. _ ............................................... TYPE: CK CHECK :~: 6687 <br /> <br /> ~ THIS IS A VALID PERMIT * TH%S PERMIT ~XPIRES 188 DAY8 FROM ITS I~$U~ DATE, <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 OAY~, OR IF CONSTRUCTION FAILS TO HEET ALL <br />REQUIRENENTS OF STATE LAWS AN~ hARION COUNTY BUILDING AN~ ZONING OR~INANCES~ THIS <br />SHALL BECOME NULL AN~ VOI~. <br /> <br />FORU ~ MC ~-,~ ~E~. ~/~ OFFICE COPY <br /> <br /> <br />