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MARION COUNTY BUILDING INSPECTION <br /> \ SENATOR BLDG. NO. 225 <br /> ~. ~.~ 220 HIGH STREET NE <br /> ~-xx.,-~ // ~ / SALEM, OREGON 97301 <br /> <br />%.~ / k,~ 24 HOUR CODE-A-PHONE: 588-7904 <br /> t am a registered builder OR the authorized representative SIGNATURE OF APP,. CANT, <br /> I am peefotming work on e property I own or occupy, <br /> <br /> of a registered builder. <br /> The work will be perforr~led by a registered builder· <br /> Other <br /> I have read and agree to the terms stated on the reverse side of DATE; <br /> <br />N]:CHOL~ GLEN RESIDENTIAL <br /> <br /> 9749 BATES RD SE ] <br /> AIJBMVILLE OR MARION COUNTYI NO <br /> <br /> SITE NMN~ER= ~3-~2584 <br /> PHONE: VALUATION: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 27459 <br />LICENSE NO: <br /> R & R Electric Inc <br />PO Box u~ <br />Tur~er~ 77~72--0000 <br />PH0NE: 74~-2546 <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />ELECTRICAL STATE SURCHARGE ' <br /> f0TAL:~SSESSED FEES <br /> ' PREVI0:OS RECEIPT <br /> THIS RECEIPT <br /> <br />PERMIT OR APPLICATION HO: 48717 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br />QUANTITY AM0UNT <br /> 1 $50.00 <br /> $2.58 <br /> <br />$52.50 <br /> $0.00 <br />$52,,5~ <br /> <br />$0.00 <br /> <br />* THIS IS A VALI~ PERMI DAYS FROM ITS ISSUE DATE. IF <br />CONSTSUCTiOH CEASES FOR FAILS TO HEET ALL <br />REOUIREHENTS OF STATE: ZOHING ORDINAHCES~ THIS PERMIT <br />SHALL ~ECOME HULL AHD <br /> <br /> REMARKS: SVC CHG ' <br /> <br /> DONAL~ E. WOODLEY~ EARION 60UNTY BUILDING OFFICIAL / BY <br /> <br />~O"M ~ MC ~S-,~"~.,V~ OFFICE COPY <br /> <br /> <br />