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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 /> The work will be performed by a registered builder. <br /> <br /> WEOTE~N FIREWORKS ]4~5:f. 2--~8 RESIDENTIAL <br /> AURORA OR ~7882 A~RORA <br /> <br /> PO BOX 426 <br /> AURORAv OR 97~2 ~iTE NUMBER~ <br /> PHONE;: ~78-2~7B VALUATION: <br /> <br /> 491 ~ i~7 / 538627. ~ SF /NO ~NO <br />........... J ............ <br /> <br />TYPE: ELECTRICAL <br /> <br />CO,F.~TRA CTOR.~ NO. 24071 <br />LICENS£ NO: <br /> Canby Electric I¥~c <br />?0 8 Ivy 9t <br />Ca~by~ 97015-0000 <br />PHONE: 266-7878 <br /> <br /> ITEM <br />BEANCH CIF(CUIT, <br />BRANCH CIRCUI'rl <br />ELECTRICAL <br /> <br />WITHOUT,:: <br /> <br />PERHIT OR APPLICATION NO: 6875;~ <br /> <br /> 8UPF'P, VI ~IN(; ELEC ~'~ICIAN/HUMBEP, <br /> <br />1ST CIRCUIT <br /> IONAtE <br /> <br /> PAYEE: C~nby E],ectr~.c I~c' <br /> <br />REOUIREHEHTS OF STATE <br />SHALL BECOHE NULL AND <br /> <br /> REMARKS: 1I CIR/OFFIC~ W:IR!NG <br /> <br />QUANTITY AMO[JNT <br />1 $35.00 <br />18 <br /> $2.75 <br /> <br />$57.75 <br /> $0.00 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 63384 <br />:::;CK CHECK 8: 17212 <br /> <br />ORDINANCES, THIS PERHIT <br /> <br /> OFFICE COPY <br />FORM # MO 15-~ REV, <br /> <br /> <br />