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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8m performir~(l work on a property I own or occupy, <br />I am a registered builder OR the authorized representative <br /> of 8 registered builder. <br />The work will be perCormed by a re(liste¢ed builder. <br />Other <br />I have read and agree to the terms stated on the reverae side of <br />this document. <br /> <br />OWN~: ~)ATE: 07¢16/9~ T'rME~---tG: .t 8: 2~ fax 'LOt~ .............. <br /> <br /> ADDISON~ MARV ~ E <br />SITUS ADDREss: ......... ' CONSTRUCT ON TYPE: OCCUPANCY: <br /> <br /> i,~ LAKECREST DE - ' i <br /> <br /> SITE HUHBER~ 93-a2465 <br /> PHONE: 845-311~ ~ VALUATION~ <br /> ] RANGE: ] ZONE'. I MAP: <br /> <br /> , ~ ~ I <br /> <br />TYPE: ELECTRICAL <br /> <br />CQNTRACTOR~ NO. 48§71 <br />LICENSE NO: <br />SEOURITY ALARM CORP <br />217 MAIN ST SE <br />ALBANLY~ <br />PHONE: 9228-4544 <br /> <br />PERMIT OR APPLICATION NO: 48497 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />LIMITED ENERGY <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $2~.00 <br /> $1.80 <br /> <br /> TOTAL ASSESSED FEES $21.00 <br /> PREVIOUS RECEIPTS $21,88 <br /> THIS RECEIPT $0,00 <br /> BALANCE DUE $0.00 <br /> PAYEE: RECEIPT HO: <br /> RECEIVEB BY: BM2 TYPE: CHECK 8: 0 <br /> · THIS IS A VALID PERHIT ~ THIS ,,,,P~.I~T EXPIRES 188 ~AYS FROM ITS ISSUE DATE, IF <br />COHSTRUCTION CEASES FORA'PERIOD OF;'.lSB'~A¥St GE. IF cOnsTRUCTION FAILS TO MEET ALL <br />REOUIREHENTS OF STATE LAWS'Alfl) MARION COUNTY SUILD~NG.~HD ZOHiNG ORDIHANCES, THIS PERHIT <br />SHALL BECOME HULL AHD VDI~. ': <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />ALARM ~ ___~__ <br />WUODLEY, MARION COUNTY BUILDING OFFICIAL / BY ............... <br /> <br />EG~[M # MC 15-5~ REV, 4~0 OF FICE COPY <br /> <br /> <br />