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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 586-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> Other <br /> <br />DATE: 12/'17/8'7 TINE: $-' 31~ 19.~ <br /> <br />OWNEA: LUTZ, TRoY '& STARR ~. ............. ! T~x LOT; 58i24--000 <br /> I <br /> <br /> AU~VZ LLE OR 9?325 ~' '08~'; [OCCUPANT <br /> ~R[~ ~NTY NO ' <br /> <br /> ~ NO OF BEDROOMS <br /> <br />SANE <br /> <br />PHONE: 749-2169 <br /> <br /> SITE NUI~IBER: 2023 <br /> VALUAT ION: <br /> <br />, ~ ZONE: : MAP'. <br /> I. TOWNSHtP'. , R~,Nr~.. 1N = EFU 48 <br /> <br /> I <br /> <br />'TYPE::. ELECTRICAL ,: <br /> <br />CONTP, tACTOR, NO. 40298 <br />LICENSE NO: <br />GRIS~,~)LD ELECTRIC <br />22856 JENNIE RD <br />LYONS, OREGON <br />PHONE: 8~9-2246 <br /> <br />PEEI~12T OR APPLICATIONNO: 5956 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> M J GRIE~OLD <br /> <br /> ITEN <br />MOBILE HOME SPACE (SVC EQUIP) <br />FLEET .~JROHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />OUANTZTY <br /> 1 <br /> <br />TOTAL ;:ASSESSED FEES <br />:pREV~[OtJS RECE~[,PTS <br />TH~S, RECEIPT <br /> <br />PAYEE: GRISINOLD ELECTRIC <br />RECEIVED BY.* <br /> <br />~< THI'S ]'S A VALID PE~41rT <br />CON~fhtJCTI(~q CEASES FOR <br />RE~mU'rREI~EN1F8 OF STATE INNS <br />~ BECOI~E NULL AND VOID. , :! <br /> <br />:RB'4ARK~: SERV R~8504 <br /> <br />DONALD E. <br /> <br />ANCONT <br /> $20.00 <br /> t3.84 <br /> 1.00 <br /> <br /> $24~84 <br /> $o.oo <br /> $24.84 <br /> <br /> : ' 8A~AN~E.~ DUE $0.00 <br /> <br /> ': 'k I ' . REC 6544 <br /> : EIPTNO ~ <br />__ .~__. TYPE::'CK CHECK ~. 3226 <br /> <br />ITS ISSUE BATE. IF <br /> FAILS TOI4EEfALL <br /> <br /> <br />