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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: 588-514,7 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR thc, authorized representative $~GN^TURE OF AF~PLICANT: <br /> <br /> ~ 75320-020 RESZDE~rrZAL <br />i SITUS ADDRESS: ' ........................ ¥O'N ~l' ~ ~T~ (~ ~J ' f ~P'~i ........................ <br /> <br /> AUMSVILLE ' OR 97~25 ~ MARION COUNTY~ NO <br />~o'~ b~ ~5~[-~'~ ........................................................................................................................................... <br /> <br /> W . -, ~ .. ; <br /> S A H E ........... ~~I~.~[~.~ ........................ <br /> <br /> PNONE: ~&4-~88~ VALUATION: <br /> <br />I <br /> , <br />,WIDTH, IDEPTH A~ ~i~s ~'i~7~ *~f'; .......... ~S~T <br /> 2.~ AC NO NO <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: ?848815 <br /> <br />COHTR~CTQR~ NO. SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE NO: <br />THRASHER, JAMES A. <br />SAME <br /> <br />PHONE: 364-7889 <br /> <br /> II'E~ QUANTITY <br />BRANCH CIRCUIT, WITHOUT SERVICE OR FEEgER - 18T CIRCUIT <br />ELECTRICAL STATE SURCHARGE ' <br /> <br />AMOUNT <br /> $35.80 <br /> $1.75 <br /> <br />PLAN REVIEW: BY ............. DATE_.~ .......... CIT. Y:JURISDICTIO~: BY DATE <br />REMARKS: I/CIR FOR STORAGE BI±DQ <br /> <br />FORM # MC 16-56 R~/, ~ OF FICE COPY <br /> <br /> <br />