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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 />OWNI~fE; 06/12/91 i iN~: 13:50:24 TAX LOT <br /> <br />SITUS ABnRFS,gEVERGREEN PAR~ CONSTRUCTION tYPE <br /> <br /> 120 SP~CE -- <br /> AU~VILLB OR <br />use o~ eu,t D~NG AU~VILLE NO <br /> <br />OCCUP*~NC¥ RESJ DEN] iAL <br /> <br />EVERGREEN ~IATES MH PARK <br /> <br /> PHONE: sire NUll3 ER .+ 1326,4 <br />LOT BLOCK SECTION TOWNSHIP RAN~ALUA I'ION ~ ZONE <br /> <br />N(:) NO <br /> <br />MAP <br /> <br />iYREz ELECTR]rCAL PER~IT OR APPLICATION NO: <br /> <br />32935 <br /> <br />CON l RAC lOP, NO. 2?459 <br />LICENSE NO: <br />R & R ELEC'fRiC <br />P.O. 80X 52 <br />fURNBR, OREGON 9?392 <br />PHONE: ?43-2548 <br /> <br />SUPERViSiNG ELEC1RICI~/NUf~3~R <br />RU~ELL RICE / 1673-S <br /> <br />ELECfRICAL 5fA]E ~URC~ARGE <br /> <br />Q'UANIiIY AMOUNf <br /> 1 $$5_oo <br /> $1.v5 <br /> <br />FOFAL A,~SESSEO FEES <br />PREVIOUS RECEIP1S <br />tHIS RECEIPT <br /> <br />$38.?5 <br /> $0.00 <br /> <br />BALANCE OtJE $0.00 <br /> <br /> PAYEE: R & R ELECYRIC RECEIPT NO: 34?29 <br /> RECEIVED BY: c'! iYPE: CK CHECK ~: 0 <br /> <br /> * THIS IS A VALID PERi,liT * THI~ PERI,liT EXPIRES 180 ~ F~ ITS l~E ~TE. IF <br />~ST~CTI~ C~ FOR A PERIOD OF 180 ~, OR IF ~T~CTi~ FAi~ TO MEET ~L <br />~I~TS OF STATE ~ ~O ~RI~ ~NTY ~UiLDING ~O Z~[NG ORDIN~C~, THi~ PE~IT <br /> L ~E NULL ~O ~IO+ <br /> <br />REMARKS-* NH SVC R~6512 <br /> <br />DONALD b. ~DLEY, MARION COUNfY 8UILDiN(~ OFFiCiAL / BY <br /> <br />FORM # MC I b-~6 REV 4/90 OFFICE COPY <br /> <br /> <br />