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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am a registered builder OR( ) theauthodzed representative <br /> <br />The work will be performed by a registered builder. <br /> <br /> 400 11TH ST <br />, .UI'¢ZV t' L~E <br /> <br /> this document· <br /> <br />Q,ATE: 'l Q/13/87 TIME: <br />OWNER: i TAX LOT: <br /> VANCE ', <br />SITUS ADDRBSS: I CON$~RUC~iON ~PE: i OOCUPANCYI <br /> <br /> OR 97325 <br /> ALI~S¥.~ LLE YES <br /> <br />~AiLING Aos~E~SINGLE PAMILY DN~L'L.T~ ............ ~ <br /> · SUBDIVISION'· <br /> <br /> PHONE :: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> SITE NUMBER: 2810 <br /> VALUATION: <br />~L0¢K'. i'SECTION: <br /> 24 I SS ........ ~ + <br /> <br />81 <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO_ 27459 <br />LICENSE NO: <br />R & R ELECTRIC <br />P.O. 8OX 52 <br />TLh%NER. OREGON 9?392 <br />PHONE: 743-2546 <br /> <br /> [TEM <br />GERV CHANGE ONLY-EXISTING RESIDENCE <br />FLEET SURCHARGE -ZONE 3 <br />E'LECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 4.9?6 <br /> <br /> SUPERVISING ELECTRICIAN~NUMSER <br /> RUSSELL RICE <br /> <br /> QUANT I Tv AJv~OUN T <br /> , $20.00 <br /> $3.84 <br /> $1 _00 <br /> <br /> PREVI ODS RECEIPTS $ O- 90 <br /> T~rlS RECEIPT $2~. 94 <br /> B'A~NCE ~ $0.0O <br /> <br />PAYEE= ~ & R ELECTRIC . "~ECE;PT NO: 5538 <br /> · YPB'f CK C,~ECK ~:; 61 <br />~ECEZVED BY: pb .,. <br /> <br />~CTI~ C~ FOR A <br /> <br />~ALL 8E~E NULL ~D ~IB. <br /> <br />REMARKS: R~3816 <br /> <br />,,DONALD E, NOODLEY, MARION COUNTY 8UT:LOINS oFF:~:CIAL~i /BY <br /> <br />,o,- ,, uc ls-s~ Rsv ~/,~ OFFICE COPY <br /> <br /> <br />