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MARION COUNTYsENATOR BLDG'~' ,~.2'~EBUILDING INSPECTION O(~j...//.~- ~_~__~. <br /> <br /> PHONE: $88-5147 8:00 - 4:30 ~ <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized representative <br />The work will be performed by a registered builder, <br /> <br />this document. <br /> <br />..... DhII:: f. tO/03/93 I :~E~' .-.13.'-22.~ 4~ ......... <br />OWNER; TAX LOT'. [ CATEGORY: ~ <br /> SH',[TH, STAN t RESIDENTIAL ~ <br /> <br /> 65 BOULDER -- '~b-N~/~T'~iT~i ]-~-~i ; ~8~b~'~Y ~O~b~ ~ <br /> DETROIT OR 97342 DETROIT ~ NO J <br /> O'~' 6~'8~iCGi~) ......................................................................................................................................... · z ; ~5~- 8FO~O'6~: <br />~iO~A ~66~ ~-] '~ -- - ~ .... .................. <br />~ss; ........................ ~%'~,~,~i~: .................................... <br /> <br /> PHONE: 854-3377 ! V~LU~TION: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 45933 <br />LICENSE NO: <br /> Pacific Coast Electric In(: <br />PO Box 651 <br />Stayton~ 97383-0000 <br />PHONE: 769-7671 <br /> <br /> ITE~ <br />SERVICE/?EEDER LESS ~H~H ~00 A~S <br />ELECTrICaL STATE SU~CH~OE <br /> <br />PERMIT OR APPLICATION NO: 9848841 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AMOUNT <br /> 1 $50.00 <br /> $2.58 <br /> <br /> se. 00 <br /> <br />* THIS IS HOT A THROUGH A REVIE~ PROOESS ~HERE THE <br />FSLLCW~N6 ~UST ~E :, =,:THE RPPL[BANT TG A~SUEE THRT <br />ALL NECESSARY INFORHA~IOH~:HAS BEEN pROVIDED; ~' <br /> <br /> PLAN REVIEW: BY_.___. .......... ~TE ......... ~: .... C¥[Y, JURiSdICTION: ~Y ...................... D~TE ................ <br /> REHARKS: RELOg~TE HETER~sE <br /> <br />FORM # MC 15-58 REV. 4f80 OF FICE COPY <br /> <br /> <br />