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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 /> <br />I am ~ registered bulider OR()the authorized representative SIGNATURE OF <br />of a registered budder. <br />The work will be performed by a registered builder, <br />Other <br /> <br /> RESIDENTIAL <br /> <br /> 19865 HUBBARD CUT-OFF NE CONTRACT CITY; VG '. ]SCSO~NT LOAD~ <br /> AURORA OR ?7882 , MARION COUNTY[ NO <br />USE O~ ~OIEDiNG~ ..... ~ <br /> <br /> ~ SITE HUNBER: 93-82333 <br /> PHONE: 678-574~ ~ VALUATION: <br /> <br /> ~DEPTH: ~ AREA'. '. UNITS: <br />, J , 9. AC ~ NO , NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR~ HO. <br />LICENSE NO: <br />HAHI% GLORIA <br /> <br />PERHIT OR APPLICATIOH HO: S~8~3 <br /> <br /> SUPERVISING ELECTRICIAN/HUMBER <br /> <br /> PHONE: 678-5745 ,: <br /> <br /> Il'EH <br /> SERVICE/FEEDER LESS 'THAN 280 AMPS <br /> BRANE~ ~IRCUIT. WITH SESV,ICE OR FEEDER <br /> ELECTRICAL STATE :,' <br /> :: ' :': ::' :,:: ,;!: :::::: :T T: L ::: SS SSE <br /> : :' : PREVIOUS: RECEIPT8 <br /> ; THIS-RECEIPT,:::: <br /> : .=::::::,..::: :,,, <br /> <br /> PA~EE: HAHN~ <br /> RECEIVED BY: <br /> ~ THIS IS A VAL~ PE~I <br />CQ~STRUCTIO~ CEASES <br />REQUIREMENTS OF STATE <br />SH~LL BECOME <br /> <br />REMARKS: 200AMP 2 C'fR 'FQ:~i'BU~4824'4:::,.,*.,.~; ::;':,. <br /> <br />QOANTITY AMOUNT <br />1 $50.00 <br />2 $4,.00 <br /> $2,70 <br /> <br />$56.70 <br /> $0.00 <br />$56.'70 <br /> <br />$0.00 <br /> <br />RECEIPT NC: 52409 <br />CNECI( $: 118 <br /> <br /> IF <br />FAILS TO HEEl ALL <br /> THIS PERHIT <br /> <br />OFFICE COPY <br /> <br /> <br />