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31E0:La~m~ D;, M-.E. · Suite C * ~1em' Ot~g0n~97'305'1398 <br />Offl=e Hours:'0:Q0-4:30 ,~Phone: (~)3) 5885147 · 24-HR InSlm~mg~ion Line: (503) 373-4427 <br /> <br />WORKBiTE U~C--~-~ADDRESS ............. I.. r~w nu =ERr ............................ ,, EDCATORi'IF]2g2]~A~2]~;I}F--CiTY= MARION coUNTY <br /> 11§57 HCClELL~N LN 'SE. AM <br /> <br />TAX ACCOUNT <br />OWNER <br /> APPL}C~HT,, <br /> AD~REgS <br /> <br />CONTRACTOR <br />PHONE <br /> <br /> DONAL~- <br /> <br /> BCCELLAN LN SE <br />AUNSVILLE~ OREGON <br />5~3-767~72~8 <br /> DONALD <br />5e3-T&9-7238 <br /> <br />ELECTRICIAN ,: <br /> PHONE : <br /> <br />SUPV ELEC = <br /> = <br /> <br />~97~25 <br /> <br /> OCCB[ <br /> <br /> CONTRACTOR LICENSE= <br /> <br /> SUPERVISOR CICEHSE{ <br /> <br />PAYEEt BAXTER, DONALD <br /> <br />Tota] <br /> <br /> <br />