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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 ( ) the authorized representative <br /> <br />The work will be pedormed by a registered builder. <br />Other <br /> <br /> DEHU'¥~ CHERYL 157546--~00 <br /> <br /> ?i[S~ 5'H:['TH RD SE CONTRACT CITY: [ G"; OCCUPANT LOAD: <br /> ~LI~SV ',[~,.I,.E <br /> <br />.............. 7.%% ................................... <br />MAILIN~ ADORE~8; . SUS~IVlgJON; <br /> <br /> :[:~y~ ~L.~?v~ s~ ~ ............................................................................. <br /> <br /> .............. <br /> <br />TYPE: ELECTI~ICAL <br /> <br />CONTRACTOR,~ <br /> <br />DEHUI'~ CHERYL <br /> <br /> I TEH <br />H~HUFACTUAED HOHE SER'V]:CE/FEEOER <br />ELEC'FRIC~L STATE SLJI~CHARGE:: ' <br /> <br /> PAY_E. l)[.HUl, C,!.iERFL <br /> RECEZ[Vt~ BY: <br /> <br /> ~ THIS IS NOT A PERHI~ <br />FOLLOWING t'tUST BE <br />~LL <br /> <br />PERMIT OR APPLICATION NO: ?e5215§ <br /> SUPERVISING ,~LEC' 'R Z C l AN/NUHBER <br /> <br />PI,,,AN REV:~I=_:~,., BY <br /> <br />REHARI(S: IdH SEFWICF_' [.NLY <br /> <br /> QUANTITY AMOUNT <br /> $2,. 00 <br /> <br /> " <br /> <br />RECEIPT NO: 54689 <br />CK CHECK ~: 858 <br /> <br /> REVIEW PROCESS WHERE THE <br />i~HE APPLICAI, IT TO ASSURE TTtAT <br /> BY .................. DATE .......................... <br /> <br />Fmn~ ~ ~C t~-~ .~v. 4,~ OFF ICE COPY <br /> <br /> <br />