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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 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 /> ELECTRICAL PE6:H IT <br />DATE/TTME : ~8/1~/95 16;21 STATUS <br /> <br />PA~E ~ T0 EXPIRE <br /> <br />WORK I)ESC : F'UHP FOR SEF'T);C <br /> <br />SITE ADDRESS : C'.(TY: HARION COUNTY 5557 DU~IORE :OR SE AH <br /> <br />SILVER FALLS HWY <br />75S2.,0-1[~;0 <br /> <br />F'ROPERTY L,C,,~]C,.,, e)82W:[3C 0t~00 <br /> ZO N F_ ,,~ AR <br /> <br />0 WN D]:~' NAHE; <br /> <br />P P I... I C A N T <br /> NAME : <br /> <br />PHONE : <br /> <br />PHONE <br /> <br />SUPV IEI.,E[:: <br /> PHONE, ,, <br /> <br />MO] L~_,R,,JOHN & HAF(C]:A :J <br /> <br />AUM,:W J. L~.,.E ~ OR <br /> <br />HOELI_E'R,JI]Hi'i D & NARCIA J <br /> <br /> 97[425 <br /> <br /> OCCB: <br />EL, KC L. IC: <br /> <br />SUP¥ LIS: <br /> <br />St'a'~'e sm"c Fi8 rg e .... <br /> 'fund . f~ ~) <br /> <br /> Ad ' us'U?nts ., 0(~ <br /> <br />Tot@t pa%~x~m.',',':s: 4~:!,, ?0 <br />......................................................................................................... ¢ ,.',]. ,!!)~i...!~,!.!~_.._ ................................................................... :~ <br />~)¢)IiAf,,;f) I_.., ¢OODL. EY~, t4Ak.[Ofl L(.h. JNTY t~IJ].._DIN O~F].B].AI., ~ ......... <br /> <br /> c -: ..... r,c.] .-oc <br /> · 11: F,,R~I.II I0,1 "i'R~. ,,!.::'ER~}:LE AND E×PIRE:S ~88 ~)AYS F'RON 1,1 DAYE .[~::' ~ORK HAS <br /> .... H.TI U[~ I0 [..I:.AoE8 FOR A PER:~OD OF 18~ DAYS,, UR :l.F' WORK <br />KF'T'~F'~ RFqUEST,~ (')~::: S'X MONTH EXTENSION MAY ~d~~ C;RAHTED, <br /> <br />-.1 <br /> <br /> <br />