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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 8:0O - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />OWNCa D A T E ,Z~9'C4:G?'9]~ TI:HE= ~'~E~4 TA~ LOT CATEGORY. <br /> JUBB,¢ H~RCY / <br /> <br /> 00862 I:'II_BERT BT .... <br />AUF,~ORA OR 97002 <br /> <br />PHONE: <br /> <br /> BLOCK: SECTION: <br /> <br />LOT: <br /> <br /> RESIDENTIAL. <br /> <br /> / <br />O0~IYRACT CITY U OOOUPANT LOAD <br />AURORA <br /> <br /> / <br /> <br /> /~ITE NUMBS: 93-818~6 <br /> / VALUATIE~ <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLI <br /> <br />CONTRASTOR, NO. 26071 <br />LICEI,ISE NO: ~ <br />Canl~y I;'].ectric :[nc ~ <br />79~ S Ivy St <br />Canby, 9781~-888~ <br />PHONE 2~&-7878 <br /> <br /> :[TIER <br />~ANUFACTURE~ HOH6 SERVICE/ <br />ELECTRICAL STATE <br /> <br />PAYEE;, 6anby E.l.( <br />RECE]:VED <br /> <br /> * THIS IS HOT <br />FOLLOWING ~OST <br />ALL NECESSARY <br /> <br />ELECTR I C I AN/NUMBER <br /> <br />PREVIOUS RECEIPTS <br />THIS RECE].I T <br /> <br />ALANCE DUE <br /> <br />PERMIT. THiS APPLICATION MUST GO <br />COMPLETED. IT IS THE RESPONSIBILITY OF <br /> ATION ~AS BEENPRO¥IDED. <br /> <br />\ ~%HOUNT <br /> <br /> !~,42.80 <br /> <br /> '" <br /> I;PT HO:,~: ~~ <br /> '.EH PROCESS WHERE THE <br />APPLICANT TO ASSURE THAT <br /> <br />PLAN REV BY ....................... DATE ..................... CITY JURISDICTION: <br />I. EMARK MP[;, <br /> <br />BY ...................... QATE <br /> <br />OFFICE COPY <br /> <br /> <br />