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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br /> I am a registered builder OR ( ) the authorized representative
<br /> of a registered builder,
<br /> The work will be Derformed by a registered builder,
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<br /> OONGOLD DAY USE AREA -STAI' 'f":. OF ORE,, ~ COMHERC:~:A~
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<br />: DE'i'ROZ T OR 9734~ ~iARI ON
<br />
<br />JUSE OF BU~LmNG:
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<br /> H'.f,l_K POST 51
<br /> PHONE: ~ VALUAT ~ ON:
<br />
<br />I ~ III I IqO
<br />
<br />TYPE: ELECTRICAL
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<br />~OI~IR~CIOR,~ I,I0. 44344
<br />LI£,EN!;E II0:
<br /> · c,~ullJ, v,:",r¥~ E:','l, ec'l:r:i,c Co
<br />PO Box 417
<br />S'bay'(:on~ 97 S,8,,~- 0 r/J ~'10
<br />PHONE: 769,,-?:L24
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<br />PERMIT OR APPLICATION NO: 467;~8
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<br /> SUI'>ERVISIN6 Et,,.ECTR Z C ]:AN/NLIHBER
<br />
<br /> ITEM
<br />SI:.RV.I. CF_/FEEDIJ:k LESO TI-lAN 200 AMPS
<br />~?.,A.?JC~ .CIRCtJ.,[I,, WITH ~d::.kV,[CE OR FEEDE'F~
<br />E.I_ECTI,(].6~I.., STATE SURCHARGE -
<br />
<br />QIJAN'T' I TY
<br /> 1
<br /> 1
<br />
<br />AMOIJNT
<br /> ~S50,, 00
<br /> $2., 00
<br /> $2.60
<br />
<br /> $54,, 6¢
<br /> $54.60
<br />
<br /> ')"OTAL, ASSESSEb FEES
<br /> PREVIOUS RECEIPTS
<br /> THIS P, ECEIPT
<br /> BAL~I,ICE
<br /> PAYEE:R, _., ,.S,11zvam~ EIectric Co Inc :' RISCEZF'T NO:
<br /> ECE]VED BY: CI,,. TYPE: CI( CHECK ~::
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<br />CONSTRUCTION CEASES FOR A PERIOD OF 18G DAYS, OR IF COHSTRUCTION FALLS TO MEET ALL
<br />~H~,~I=REQUIRENENTS~ NW~:OF 8TATEAN~ ~LAW~ AND MARION CO]UHTY BUIL~IH~ AND ZONIN& O~DINANCES~ THIS
<br />
<br />REHARKS,~ A.JFOMAT[(, PAY
<br />DONALO K. Wi]OI)I_EY,, MARION COUNTY l~tJll..DIl,l[; OFFICIAL / BY (~ ~
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<br />FORM # MC 1 ¢-5'8 ~IEV, 4/gO OFFICE COPY
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