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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 8~30 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder, <br />Other. <br /> <br />S~¥US ADDRESS; ' i 80N~f~J~:ribN :r~;S~; ! O~EUPANC¥: " <br /> AUH.SVII,.,LE OF: 97;!.25 ! ~UHSVIIJ.,.E NO <br /> <br />PO BOX ;!17 <br />AUH."W:t, LL, L:,,~ ~!R 973~..,,) <br />PHONE.,". 749-22~07 <br /> <br />SITE NU~IBER: 93-02~40 <br />VALUATION: : <br /> <br />TYPE= ELECTRICAL <br /> <br />CO~, TRACT gl;;'.¢ <br />L.:( C E N S,.'r.': J~O <br /> Pacif:i.c [(, 5t E~.er:.~ LC <br />F'O Bo× <br />o'lrayton,t 9 ?,~8,5-'0000 <br />PHONE: 76%-767I <br /> <br /> PERMIT OR APPLICATIOH NO: 51547 <br /> <br />457,~ SUPERVISING ELEC'T'R I C I AN/NUHJC(IER <br /> <br />TotaL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> <br /> ITEM : <br />SERVICE/FEE:DER LESS THAN ~0~3 AH~ ,5 <br />tkANCH 6IBC, UI~,, WIT~ SERVICE OR F~EDER <br />ELECTRICAL,. STATE SURCHARGE <br /> <br />QUANI'I'¥'Y AMOUNT <br />1 <br />lQ $20,,00 <br /> $3.50 <br /> <br /> PAYEE: Facific [:oast Electric :i:nc: I:~ECEIPT IqO: 5:¢784 <br /> RECEIVED BY: DH2 ........................ :..L,,.2: ....... ;.,,,..~ ............. :~. ...........TYPE: CE CHECK ~: 6777 <br /> <br /> * THIS IS A VALID PERMIT ITS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR APERIOD'OF'IC8 DAYS, OR IF:CONSTRUCTIOH FALLS TO BEET ALL <br />REQUIREMENTS OF STATE ZONING ORDINANCES~ THIS PERMIT <br />SHALL BECOHE NULL AND VOID, ' <br /> <br />REMARK!i~: SERVICE/10 ciR <br /> <br />DONAI.,D FT,, WODIIL.EY,; h~P:RIOl',l cou~,rrY E4L}ILD]:N60F¢'IC;[AL / BY <br /> <br />FORM # MC 1 ~-~6 REV, 4/~0 0 F F ICE COPY <br /> <br /> <br />