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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 8;00 - 4::30 <br />24 HOUR CODE-A-PHONE' 588-7904 <br /> <br />DATE <br /> <br /> EVER%REEN <br />ADDRESS <br /> <br />TIME: 1t:5V:05 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />C~TEGORY <br /> <br />OCCUPANCY <br /> <br />RE~I DEN T J. ~,L <br /> <br /> 260 EYERGREEN DR <br /> AUMSVILLb <br /> <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br /> CONTRACT CITY <br /> <br />AUIVEW l LLE <br /> <br />UGB <br /> <br />NO <br /> <br />SUBDIVISION <br /> <br />PHON ~, :: <br /> <br />EVERGREERN <br /> <br />SI ft;:; HUM'tiER: <br />VALUA T iON: <br />I~ANGE ZONE <br /> <br />MAP <br /> <br />NO NO <br /> <br />TYPE: ELEC¥'RICAL PbNMif OR APPLiCAFiON NO: <br /> <br />32453 '/ <br /> <br />CONfRAC1OR, NO. 2V459 <br />LiCEC'4SE <br />R ~ R ELECTRIC <br />P.O. 8OX 52 <br />TURNER, OR~ON 97392 <br />PHONE: '743-2546 <br /> <br />~JPBRVi$ING gLEC]RiCiAN/NUMBER <br />RU~:5.~ELL RICE / 1673-S <br /> <br /> ITEM <br />MANUFACfURBD HErb ~ERViCE/PEEDER <br />Et-ECIRiCAL ~TA]~ f:~JRCHARGE <br /> <br />QUANT i ] Y AIVOUN ] <br /> 1 $35, <br /> <br />'rOTAL A~,~E~.SED FEES <br />PREVIOUS RECEiP]5 <br />FHIS RECEIPT <br /> <br />SO,DO <br /> <br /> BALANC~ <br /> <br /> PAYS.~: R & R ELECTRIC Rf~C~I,°f NO: j,// 34,240 <br /> R¢:.CEiVED BY: CL IYPE: CK CHECK ~: 9b't4 <br /> <br /> THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 BAY~ FROM iTS [S,~UE DATE. IF <br />I~STR~JCTII~N C~l~ FOR A PERIOD OF 180 DA~, OR IF ~TRUCT~ FAIL~ TO ~EET ALL <br />~REI~IENT$ OF STATE LA~I~ <br />~ALL BEdE NULL ~g VOID. <br /> <br />REMARKS: MH DVC K~644,0 <br />L)ONAL_O ~,_ WOOIJL~,Y, IV'C, RiON COUNIY BU,[LDING OPPiCiAL / BY ...... ~ .... <br /> <br /> OFFICE COPY <br />FORM # MC 1556 REV <br /> <br /> <br />