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MARION COUNTY BUILDING INSPECTION <br />COMMUNI'FY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE · Room 132, Salem, Oregon 97301~3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ELECTF¢ICAL PERHIT <br />DATE/TIME : 8~/83/95 14:86 STATUS : ISSUE9 <br /> <br />0CCUP~NCY : B-2 igSUE~ : <br /> <br /> ;I.~t;~',~5 BU'FTE;VILI..E RD I,IE AR CITY:: MARION COUNTY <br /> BRO~i)~CRE~ <br /> <br /> ~'THEI.,I,,~RAYHONI) 0 & SANI)RA ~ <br /> <br />PI"IOHE ,~ <br /> <br />C 9 I,t T R A f'.' '¥ il) R <br /> PHONE <br />Iii I.. f:.".tl T R ;[ C :t7 A t,I <br /> l:'d"l 0 H r-'; <br />!:~l, fl';' V EI..EC <br /> I::'I-.tOI,IE <br /> <br />fi I;di;_'i'i C 0 <br />F'f] BOX 9279 <br /> <br />BR/IOKO,, <br /> <br />97~05 <br /> <br /> OCBB: ~9754 <br /> <br />ELEC <br /> <br />SI,IP¥ <br /> <br />20 Br'al'tr:h c -i.l-(::t.lii.'[-~ 40,, F~O <br />:1, O'i','a'P,e st.t?charge :1,4,, 50 <br /> <br /> Assesse(;t fees :: <br /> Ad just~en-[:'s : ,, 00 <br /> Total 'l'e,',,,*,,_'-; :: [~04,, 5~') <br /> 'l' o '['a ,1. p ayf~e}'r[ s:: Z04., <br />................................................................................................................. . ,B.,~, AA~lcA..,!~A~t ........... ,~ .......................................................................... <br /> <br />~ ~T ~$ NON-T~ANSF/EABLE AN~ EXPIRES 18e I~Y8 FRO~ ISSUE ~ATE IF WORE HAS <br /> F <br /> <br />t~lT"rEN ~E~IIE~'i, ONE SIX ~ONTH ~XTENSION NAY BE GRA~TE~. <br /> <br /> <br />