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MARION COUNTY BUILDING INSPECTION <br />SENATQR 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 have read and ag eetothe e mssatedontl~e evefse side of <br />this document, <br /> <br />TAX LOT: CATEGORY'. <br /> <br /> 1453-00~ :NT]:AL, <br />CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> 9184 GOt. F CLUB RD SE <br /> AUHSVTLL. E OR 97325 <br />'O~"E' dK ~ OTCdTA-~T ..................... <br /> <br />CO'UNTY NO <br /> <br />"MAILING ADDRESS: <br /> <br />8UBOIVi$10N <br /> <br />SITE NUH~ER= ?~04878 <br />VALUATION." <br /> <br />TYPE= ELECTRICAL <br /> <br />CONI'RACTQR. biO. <br />LICENSE <br />FUSON,~ DESHOND & EVELYN <br /> <br />PHONE: 74~-2968 <br /> <br /> ITEM <br />HAHUFACTURED HOME SER <br />BRAHCH CZRCUIT~ WI~H ~ <br />ELECTRICAL STATE $URC~ <br /> <br />PERMIT OR APPLICATION HO: ~851678 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> QUANTITI AMOUNT <br /> <br /> 1 $2,00 <br /> $2.10 <br /> <br /> $44.:1,0 <br /> $0.B0 <br /> $44.10 <br /> <br /> $o,, oo <br /> <br />F~CHECK ~: 0 <br /> <br /> REV~E~ PROCESS WHERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br />F'A~EE: FUSOI% DESHOND <br />RECEIVED BY: F'M2 <br /> <br /> · THIS IS NOT A <br />FOLLO~INE MUST BE <br />ALL NECESSARY INFORMATI <br /> <br />PI. AH REV]:F'W: BY ...... <br /> <br />RE~ARKS.~ MS 8ER,~ <br /> <br />iD~CTI01,h BY ................. DATE ............................... <br /> <br />PO~U # r~c ~-~ ~e,,,,~ OF FICE COPY <br /> <br /> <br />