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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO': 225 <br /> 220 HIOH STREET NE <br /> SALEM, OREG~ON 97301 ¢ <br /> <br /> PHONE: 588-5147 8:00 - 4:~0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />1 am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be Dedormed by a registered builder, <br /> <br />this document. <br /> <br />L ,6~ I 8z ...( 522o./,~,, __l_l:Eo~ __~__N.o_ <br /> <br /> ~'~' ~-- -- ~ <br /> 11&~8 ~R~LER LANE NE ON COUNT <br /> <br /> L <br /> <br />352B MAPL. E STREET <br />HUBBAR~ ~7B~2 ~AYT2ME ~84-428B SUE SITE NUHBER: <br />PHONE: 981-816~ VALUATION: <br /> <br />TYPE= ELECTRICAL PERHIT gR APPLICATIOH HO: ~1799 <br /> <br />CONTRACTOR~ NO, 94581 <br />LICEHSE NO: <br />Willzap~ K Enge].Ra~ <br />PO Box 4§1 <br />Ht.~bbard. 97032-0880 <br />PHONE: <br /> <br />SUPERVISING ELE&IRICiAN/NUMBER <br /> <br /> ITEM <br />BRANCH CIRCUIT, WITHOUT <br />ELECTRICAL STATE SURC~f <br /> <br /> QUANTITY AMOUNT <br />1ST gIRl 1 $35.08 <br /> $1.75 <br /> <br />S <br /> <br /> $0.00 <br />$56.75 <br /> <br />PAYEE: William <br />RECEIVED BY: DM2 <br /> <br /> $ THIS IS A VALID <br />COHSTRUCTIOH CEASES FOR <br />REGUIREHENTS OF STATE <br />SHALL ~ECOHE NULL <br /> <br />REMARI\o,, <br />DONALD <br /> <br />1CIR/GARAGE <br /> <br />WOODLEY, MAR'~OM ~'C.'O'~f~.T.Y" BO.~E.D'I~6'¢' OFF~t~Z~L'/'BY <br /> <br /> $0,80 <br /> <br />~ECEIPT NO: ¢424? <br />: OK CHECK ~: :L03S · <br /> <br /> ITS ISSUE DATE. IF <br /> FAILS TO NEET ALL <br /> ORDINANCES, TN~$ PERMIT <br /> <br />~O~M # ~ ~-~ ,~v.,~o OFFICE COPY <br /> <br /> <br />