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MARION COUNTY BUILDING iNSPECTION <br />SENATORBLDH NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ow~A'T P,.: 05/21/91 "~ IP~E: <br /> <br /> SAN[ iAH HOI'4~ <br />SITUS ADDRESS <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENI[AL <br /> <br /> 2]0 EVERGR~'EN DR <br />AU~V L <br /> <br />OR 9?325 <br /> <br />CONTRACT CITY <br /> <br />AUA,SVILLE <br /> <br />UGS <br /> <br />NO <br /> <br />OCCUPAN] LOAD <br /> <br />11873 MILL CR <br /> <br />~4ONE: 789-7?44 <br /> <br />I 07 BLOCK SECTION TOWNSHIP <br /> <br />SI]E NUMBER: 13067 <br />RANVALUAGE F EON ~ <br /> ZONE <br /> <br />WlOTH ] DEPFH <br /> <br />AREA UNITS IRREG LOT CORNER <br /> 0. NO , NO <br /> <br />[YPE: bLECfRICAL <br /> <br />C(~IRACIOR, NO. 38238 <br />LICENSE NO: <br />bANIIAM MOBILE HOME~ <br />q~3'13 HiLLCR~K RD ~E <br />AU~VZLLb OR 97325 <br />PHONE: 169-7744 <br /> <br />PERHIF OR APPLICATION NO: 9033144 <br /> <br /> ~SUPERVISING ~LECIRIC[AN/NUHBER <br /> <br />MANUFACFURED HOME SERVICE/PEEPER <br /> <br />FOTAL ASS~ED <br />PRE¥iOUS <br />~HiS RECEiPt <br /> <br /> QUANIiIY AMOUNI <br /> 1 $35.00 <br /> $~. <br /> <br /> $38.75 <br /> $0_~0 <br /> <br /> $0.00 <br /> <br />RECEIPr NO: 34947 <br />tN CHECK ~: O <br /> <br />BALANCE DUE <br /> <br /> PAYEE: SANFiAf4 IvYOBILE <br /> R~-CEIVE~D <br /> <br />* THIS IS NOT A PERffllT. THIS APPL.[CATION FAI.A.~T 60 THIBOUCH A REV;[EI~ PROCES~ I,~-IERE THE <br />P~LLO~J. N6 F~J.ST BE COFIPLETED. iT 1~5 THE RE~P~NSfB.[LITY OF THE APPLICANT TO ~RE THAT <br />AL.L, NECESSARY iNFORtflAT~[ON HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: 8Y ....... DALE, ........................ <br />RP. JVlARKS: HH CONN <br /> <br />C[IY JURiSDICf£ON~ BY ....... DAIE <br /> <br /> <br />