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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 13:8 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4=30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ELECTR[~L Pt-*l~ ~ T <br /> <br />~ERH~T Nfl ~95~t4~5 APPLIED = <br />:,PA~E ! TO E~ZRE ~ ~/27/19~5 <br /> <br /> P~RCEl NtlHRFR <br /> <br />~APPklCANT <br /> HAME <br /> Ag~RESS <br /> <br />PHONF <br /> <br /> CONTRACTOR <br />PHONE <br />:EI,ECTR~TAN <br />· ::: PHONF <br /> <br /> PRONF <br /> <br />: A/C CrIHNECTIriN <br /> <br />: ].,~4 CARMFI DR AM <br /> <br />: AN <br />~ ,RtMF. S~PA]RI ,K <br /> <br /> KEZT. ER EI.ECTRIC ~NC <br /> F'(1 BOX 7246 <br /> <br /> KE~ER EI.~CTR~C ~NC <br /> <br />~a~e ~t~tchavge <br />Refund, <br /> <br />CITY: AUHSVILLE <br /> <br /> OCCB: 25~59 <br />F. _EC Llr~: <br />Si.IpV I.~C-. <br /> <br />1.85 <br /> <br /> As,~essed fees .~8.8,5 <br /> Ad ~um~e~m .00 <br /> Total fees ,~8.85 <br /> Tot~] pay~ents: 38.85 <br /> <br />THI~ PFEH~T 1~, IqOIq.-'rI~ANS["ER~B[F AND EXPIRES. 1.8¢ DAYS FROM ISSIIF[~ATE IF WORI( HAS <br />NOT ~?~MM;~NCEI)~ OR IF ~QHSTEIJCTIOH ~EASE~ F~R A PERIO~ OF 18e DA~, OR IF WORK <br />FAIl f~ '¥~ MFFT All. RFf)II~RFMFNT9 OF STATE LAWS AM~ MARION COUNTY ORDINANCES.. UPON <br />WRtTTF:N REQUEST~ ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />+1 <br /> <br /> <br />