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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; 6;00-4;30 · Phone; (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904
<br />
<br /> Et.E~TRtCAL APPLICATION
<br />DATE/'?'i~ 1.7,/!i/95 It=17 ACTIVITY NO ?5-16777.
<br />TYPE Resident~ addJ tio~/$1te~a+~i~ STAT~S APPL~E~
<br />OCCUPANCY R-~ APPLtEB 1~/11/1795
<br /> TG EXPIRE 84/88/19~6
<br />
<br />~,~[[~'~K DESC ~ MS SE'RV]:CE'
<br /> '.L28:L:~ ARND'/ RD NE AR CITY: NAI'.~ZON COUNTY
<br /> AI:RF'ORT RD
<br />
<br /> FE~qRII'E, DOU[i & KATHY
<br />
<br />f..t :E '?'E ADDRESS
<br />
<br />CRgSS S TRiEOET
<br />
<br /> ~ F'lr(O i'ECH ELECTRZC
<br /> : F'O BOX
<br />
<br /> I-.~Ut. BAR~.. OR 97~32
<br />
<br />C(:)NTRACT(]R : PF(O TECH EiLECTRIC
<br /> PHgNE ~ 981-7739
<br />
<br />E:-:],.ECTRtCi~N ',~PRO-.TECH ELECTRIC INC
<br /> PHONE: ','. 981-7739
<br />
<br />~)I..J~:'V EL_EC ~',KACALEK R~N~Y R
<br />
<br />OC [,D,, ?8948
<br />CONTRACT(:IF~ L,];C!L-'Nsr_-'L~ =.4--$~,.J.L
<br />, SI, FER~Z,OI-, L..~CEN,_L~ :3895S
<br />
<br /> Assessed 'Fees : 42,
<br /> Ad j Lt~'~'tJ~ent s ." .
<br /> Tote ] 'fees .. 42.
<br /> TC '~" ] ~ ,~y e '~'b:~ '
<br />F'A":r~t'~ F'R~ ~r"~'~ r:~ ;"n'n')'r~, ,',,,¢ ~. .,... , .. . . .0~
<br />........ j;:~. ......... S~:,~,..L~:t,:~','~...E-~.;.E.¥Z~'..-~,..~u,, ~aJ. arK;e oue ~ 42 ~
<br />
<br />T~18 IS NOT A PERMIT. ~T iS THE RESPSNSIBILZTY QF THE APPLIgANT TO A¢SU~E THAT
<br />ALL NECESSARY IHFO~ATION IS PROVtQE~ AND FEES PAZD BEFORE A PER~[T HAY BE
<br />SI.'..;~,~AT!~R:F OF APr~'L. ICANT:
<br /> ........ ..~ ............................. ~ .,...,, .~.. ,,, ,,..,, .,. ,,,, .............................................
<br />
<br />............................................................................. F'OR []F'FZCE USE E]NLY ............................................................................................
<br />
<br /> '; ':4,f :'::"¢'~:F:,,],.,. ~ATE::: ZflN:IiN{; RI:::V:[E:H~
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