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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 /> of a registered builder- <br /> The work will be performed by a registered builder. <br /> Other <br /> <br /> ~-..~ ,~.~¢~ ~: ~¢~u~o ....... ' ........................ <br /> SITUS ADDRESS: OONSTRUCTION TYPE; [ : <br /> <br />I PHONE: 678-2:578 ~ VALUATION: <br />...................................................................................... E~ - - <br />~LOT; ~ BLOCK; TS~CT,ON: ~OWNSHIP, ~ RANGE; FZO : <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR,j N[% <br />LICENSE NO: <br /> <br />F. HO,qE,, 266- 6~6,J <br /> <br /> ZTE:M <br />SZSI,I~L C;[RCUZT(~) OR <br />ELEC'fR~C~L -- <br />ELECTRiCal. ST~t'E SURCR <br /> <br />PERHIT OR APPLICATiOH NO: &1128 <br /> <br /> SUPERVISINg, ELECTRICIAN/NlJHBER <br /> <br />QUANTITY <br /> <br /> RECIE:[ViEQ BY: js <br /> <br /> ~ THIS I$ A VALID <br />CONSTRUCTIOH CEASES <br />REOUIRE~EHTS OF STATE <br />SHALL SE~OffE N~LL AN~ <br /> <br />RE. MARKS:'. <br />i)ONALO <br /> <br />AHOUNT <br /> $40.08 <br /> <br /> $2.00 <br /> <br />$82., <br /> $0.80 <br /> <br />RE[;EIPT NO: 65764 <br />CHECK ~1~: <br /> <br /> IF <br />FAILS T~ ~EET ALL <br />ORDIHAflCES, THIS PERMIT <br /> <br />bJOODL. EY, HARIO~ COU,1iY .BUILJ)ING.OFFtCIAL / B.y <br /> <br />OFFICE COPY <br /> <br /> <br />