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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 />Other. <br /> <br />SIGNATURE OF APPLICAN~ <br /> DATE <br /> <br />OwN~AIE: 09/05/91 f'IME; 13:16;26 <br /> <br />S , ~=V~GRbbN N~H PARK <br /> <br />TAX LOT <br /> <br />CONBTRUCTION TYRE <br /> <br /> 135 SPRUCE Cf <br /> AU ~4~V i L L E <br />USE OF BUILDING <br /> <br />OR <br /> <br /> CONTRACT CITY <br /> <br />AUMSViLLE <br /> <br />UGB <br /> <br />NO <br /> <br />CATEGORY <br /> <br /> RESiBENIiAL. <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO Ok 8EUR00rCS <br /> <br />RHON P.: <br /> <br />bt ] P-. NUMB bR: <br />R^NGV~ALUA f ION'+ ZONE <br /> <br />NO <br /> <br />MAP <br /> <br />TYPE: ELgCiNiCAL P~RMif OR APPLICATION NO: <br /> <br />34934 <br /> <br />[.;ON I RAC ] OR, NO. 2?459 <br />L i(,;bNbP,, NO: <br />N & R bL-EC/RIC <br />P.O. BOX 52 <br />TURNER, OREGON 97392 <br />PHON&: 743-2546 <br /> <br />SUPERVISING ELECIRICiAN/NUMBER <br />RU~ELL RiCE <br /> <br /> I~EM <br />ADDiilONAL FE~ <br />ELECIR1CAL ~IA1~ ~URCHARGE <br /> <br />QUAN111¥ AMr. AJNf <br /> $30,00 <br /> <br />f'O'fAL A~5SED FEES <br />PREVIOUS RECBiP'T'S <br />[HI5 RECEIPT <br /> <br />$31.50 <br /> SO.OO <br />$3/.50 <br /> <br />BALANCE DU6 $0.0O <br /> <br /> I~YEE: R & R ELEC[RIC RECEIPT NO: 36823 <br /> kNCblVgU BY: cl IYPE: OK CHECK ~: 9851 <br /> <br />* THIS iS A VALID PER~41T * THiS PE~41T EXPIRES 180 IDA'Y~ FRO~I ITS I~x~UE DATE. <br />CONSTRLICTION CEAfSESi FOR A PERIOD OF 180 BA~. OR iF ~ST~CTZ~ FA/~ 'to ~EET ALL <br />~iR~T5 OF STATE ~ ~O ~Ri~ ~N~ 8UILDIN6 ~D Z~iNG ORDIN~C~. THI~ ~IT <br />~ALL B~E NULL ~D <br /> <br />R~MARKS: MH PARK 5VC POR SPACE R~9851 <br /> <br />DONALD E:. NOQDLBY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15,56 REV 4790 OFFICE COPY <br /> <br /> <br />