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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 />SIGNATURE OP APPLICANT; <br /> <br />I 2040:5 HLIBBARD L'U'f OFF" NE CONTRACT CITY; UGB'. <br /> <br /> ¢,~ ROr-,;A OR 97602 HAFtTON COUNTY NO <br />6~E 6¢ U'Oi'Lbih'6: <br /> <br /> ~ SITE flUH~E~ 95-~425 <br /> F'HONE ~ 98&-,27~9 / V~LU~T~ON: <br /> <br /> TYPE: ELECTRICAL <br /> <br /> COlITRAL fOR,, <br /> L ICENSF_' <br /> Ro~s B'r'os & ,Co <br /> ,~50:1. Brookl,ake Rd N ,,,, <br /> <br /> F'OOHE~ <br /> <br /> ~ THIS iS A VALID PEE~l <br />CONSTRUCTION CEASES FOR: <br />REEUZREflEHTS DF STATE <br /> <br /> PERHIT OR APPLICATION NO: &~975 <br /> <br />?8694 SUPERVISING ELECTRtCIAN/NUH.'SER <br /> <br />QUANT'r"FY AMOUNT <br /> :1. ~1;,'35 ,, 00 <br /> <br /> $0., 00 <br />$36.75 <br /> <br />$0.00 <br /> <br />6:~6].4 <br /> 0 <br /> <br /> IF <br />FAILS TO NEET ALL <br /> <br />qh ,Ifil '{:;OUHTY BUILDING OF?ICIAL / ~:~Y <br /> <br />OFFICE COPY <br /> <br /> <br />