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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 /> <br /> of a registered builder, <br /> The work w{ll be performed by a registered builder, <br /> Other .......... <br /> I have reed and agree to the terms stated on the reverse side of DATE: <br /> this document, <br /> <br /> Lb~b: <br />AUMSVILLE OR 97325 rLJMSVILLE ~0 ~ <br /> <br /> .47;~ LA'i"ONE CT NE <br /> KEIZER, OR r~7303 SITE <br /> PHONE: 58B-9;J3~? I VALUATI Oi',h <br />,LOT; BLOCK'. SECTION; TOWNSHIP'. I RANGE: <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION <br /> <br />C()l,~l RACTOR, 140. 27459 <br />I,,ICENSE NO: <br /> R & R Electric <br />F'O Box 52 <br />l'urner~ ~7~92-'88~0 <br />PHONE: 74~--2546 <br /> <br /> ITEH :: <br />TEMP SERV/FEEDER ES~ 'f~IAN <br />ELEC'rR)_CAI_ STATE SURCHARGE <br /> <br />PAYEE: R & R <br />Riii;(';E:IVE)~ BY: ,,IS <br /> <br /> * THIS IS A <br />CONSTRUCTION <br />REQUIREMENTS <br />SHALL BECOME <br /> <br /> PERMI~ <br /> FOR <br />STATE <br /> AND <br /> <br />1 TEflP EI..ECTRIC::J. <br /> <br />SUPE~VISIN6 ELECTR ICI AN/NUffiBER <br /> <br /> $1.75 <br /> $~8,, 75 <br /> <br /> RECEIPT NO: 6;5163 <br /> <br /> ITS ISSUE DATE. <br /> FA~LS TO MEET ALL <br /> , ZONING ORDINANCES, TH~$ PEEHIT <br /> <br />,:, WOODLEY,, <br /> <br />MARIOM'COUNTY'BUILD:i~iG OFFtCI~E / BY <br /> <br />OFFICE COPY <br /> <br /> <br />