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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 am Performing work on ~ property I own or OOCUPY, <br /> <br /> of a registered builder. <br />t Tr~h,~e~w. ork wll, be performed by a registered builder. <br /> <br />~ BRUMK ~ARY 5'765!-(40e RES I'OEhFT'i'4L <br /> <br />' t <br />' 8~65 SMTTi4 RI) SE ~6~T~8~ ~'~ 5EdO~Zk~'[6~5; <br /> SALEM OR ~7~01 MARION COUN'f'Y NO <br />~IiUSE' Or BUILDING:.... ...... ~Oi ~6~ ~¢~0~S: <br /> <br />ATTENTION PAULA SANTTAH HONES <br />:1.1¥7S MILL .CR~EK RD AUMSVILLF 97301 <br />PHOHEii 75%-7744 <br /> <br />WIDTH'. 'DEPTH'. <br /> <br />SECTION: TOWNSHIP; <br /> <br />SITE NUMBER: 94-8~1~2 <br />VAI_UAT I ON,", <br /> <br /> RANGE: ZONE; MAP; <br /> <br />:L.77 AC YES <br /> <br />LOT; <br /> <br /> NO <br /> <br />TYPE: ELECTRICAL PERNIT OR APPLICATION N0: <br /> <br />5224& <br /> <br />COi~'¥R~I:TOR,~ I'lO. 78229 <br />I,,.:t; CENSE NO: <br />XL ELECTRIC <br />'.'50~9 COPPER CREEK LOOP <br />,:~ALEM,, 97~5 <br />PHONE: "'' <br /> <br /> I l'EM <br />MANUFACTURE~ HOME <br />BRAli[II CIRi. UI'T. W:~'rH <br />ELECTRICAL STATE <br /> <br />SUPERVISING I:LEu kIC].AN/NUM...E ~ <br /> <br />[~UANTITY AMOUNT <br />;L $48.00 <br />S $6.~0 <br /> <br />$48.30 <br /> $0.00 <br />$48.~0 <br /> <br />F AYEE: XL ELECI'R:{C : <br />RFCEIYEt) BY: DH <br /> <br /> * THIO ID A VALID <br />CONSTRUCTION CEASED FOR <br />REOUIEEMENTSOF STATEI <br />SHALL BECONENULL AN~i <br /> <br />RECEIPT NO: 54708 <br />CK CHECK ~:: 1294 <br /> <br /> IF <br /> FAILO TO MEET ALL <br /> <br />,EMA(KS, Mi-I SERV];CE & <br /> <br />;C, ONALD E. WO~DIEY,~ HA,-.J.I,~,I CI,.,UI,.~Y ~iJ.[Lt),,,W60FF.FCEAL / BY <br /> <br />POnU, ~c ~-~ R~V..WO OFFICE COPY <br /> <br /> <br />