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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 /> ~_LECTRICAL APPLICATION <br />~ATE/TLME .. 12/~8/~.5 11:t4 ACTIVITY NO 75-!8207 <br />~YPE : ~u~ Re~dentiai STATUS APF'i_~E~ <br /> <br /> TO EXPIRE 86/~5/19~6 <br /> <br />(;:['f[£ ~:'PDRk%!; ~ 11556 H[:;CLE;'LLAN LN SE AM <br /> <br />CkC~;!-,,' !:~'I'PEE'f' : H[;LELLAN RD OFF' W S'fAYTON RD <br /> <br />PARCEL NUMI-fl~:R <br /> <br />A; '~ 'L ]' <br />NAHE ',', F'OPL T.N <br />ADPq:x~o : 114B5 M;..~,.LA~ LN SE <br /> AUHSVIL~ E OR <br /> <br /> F'HONE <br /> <br />(,;~'~N'f RAC'[OR : F Ol:'l ?[,.1~ J., L. <br /> F' H~ t N F : 769'-' ~ ;~ ~ 7 <br /> <br />S[.IPV EL. EC <br /> PHONE : <br /> <br />C_, f., MA!:C[OI,! CJI x!"Y <br /> <br />COI ti%,A, .) ~ LI CEJ,!SLih; <br /> <br />SUF'ER¥1SOR " ~' ' <br /> I,ZJ. CENoIi: <br /> <br /> Ad ~us'¢:ment's ,, <br /> <br />FAYr;'I~;: F'OPLIN.~ J,. L.,Bslmwe due ,," <br />* * * * * $ * * * * * * *:¢** *'8 * * ** * * ~ * * * * ~(* * * ******¢* ~*** **** * **** ****.2 ** *** * * * * <br />TWXS tS WOT A PER~IT, IT ~$ THE RESPONSIBILITY OF THE APP[.ICAHT TO ASSURE THAT <br />ALL. NECESSARY IHB-ORMATIOH~S PROVI~E~H~ FEES PA~ BEFORE A PERMIT ~AY <br /> <br />':" "' : :, OF AF'F ' " <br /> <br />t)OF'~,l I) I':,, WI)ODL. E.Y,, MAS:ION COUNTY BUIL~)IN(; OFF']:C;I:AL BY ?HEAL <br />.......................................................................... FOR OFFI[~E USE f N Y ............................................................................. <br /> <br /> ' ' .... R ."V .... , <br /> ... ,I EFZV':),'k" OAT'E: Zt. Ii. ,O , W,, ~,' <br /> <br /> <br />