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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 a registered builder OR { ) the authorized represent:~tive <br /> Other <br /> <br />DATE: 01/1.1./75 TIME: 10:56:~6 <br /> <br /> FlfilN(,~ JAMES & MONiLA <br /> <br />br ~'di[Sf~ ~ NO 0~ ~O~OOMS <br /> <br /> CONTACT., 769-23~2 SITE HUNBERa <br /> PHONE: VALUATION: <br /> <br /> TYPE: ELECTRICAL PERHIT 0R APPLiCA/IOH NO= <br /> <br /> COI,II'R~CTOR~ NO. 4593~ StJPERVISING ELECTRICIAN/NUMBER <br /> LICENSE NO: <br /> Pacific Coast Electric <br /> PO Box 651 <br /> <br /> PHONE: 7~9-7671 <br /> <br /> I TEN QUANT):TY <br /> SERVICE/FEEDER LESS 2Q~ 1 <br /> ~RAMCH CIRCUIT. WITH ,: <br /> ELECTRICAl,, STATE SURCH¢ <br /> <br /> PAYEE: Pacific Coast <br /> RECEIVED BY: JS <br /> <br /> * THIS IS A VALIB PERNI <br />CONSTRUCTION CEASES FOR <br />REOUIREMENTS OF STATE <br />SHALL BECONE NULL AND VOI <br /> <br /> AMOUNT <br /> $50.00 <br /> $12.00 <br /> $~.10 <br /> <br /> $65.10 <br /> $0,, 00 <br /> $65.10 <br /> <br /> $0.00 <br />!:; R~CE[PT NO: 63329 <br />:Z,CK CHECK ~:: 7598 <br /> <br /> IT~ iSSUE DATE. <br /> FAILS TO NEET ALL <br /> O~iNANC£~ TNI~ PErMiT <br /> <br />REMARK8:1 SER, 6 CIR AT<: ! IN ,:,: 8~IO~! <br /> <br />DONALD E. WOODLEY, MARION coUNTY BOIi;Ol'N~OFF;[CiAL /By <br /> <br /> OFFICE COPY <br />FORM # Mg 15.$6 REV. 4/90 <br /> <br /> <br />