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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::80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy <br />I am a registered builder OR I } the authorized represe~taPve <br />of & registered builder, ¢ <br />The workw bepedormedbya eD.eredbuflder <br />Other <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 09/05/91 <br /> <br /> T 1ME-- 13:42:02 ~ <br /> B~RB~ ~ PARK 8~T~UC~ibN TYbE ' ~OP~OY RB5tDE~ <br />i i31 0 ~RGR~ . ~ CONt~.C~ c~t~ , US~ ~OCCUP~m LO~ <br />, AU~VILLE OR ~ ~ , { . <br /> ~W.~.~_~_ ......... J ....... Ng .......... J ............................. <br /> <br />0. <br /> <br />SITE NUI~ER: 14021 <br />VALUA f iON: <br /> <br />iRREO LOT "' <br /> NO j NO <br /> <br />91At <br /> <br />TYPE: ELECf R fCAL <br /> <br />CON f F~C T OR, NO. 2?459 <br />LICENSE NO: <br />R ~ R ELECTRIC <br />P-O- 80X 52 <br />TURNER, OREGON 9?392 <br />PHONE: 743-2546 <br /> <br />PER~Ii¥ OR APPLICATION NO: 34941 <br /> <br /> SUPERVISING ELECTRICiAN/NUIV~ER <br /> RtJ~ELL RICE <br /> <br /> iIEM <br />A00iIIONAL FEE~ <br />~L~CTRICAL 5TALE 5¢JRCHARGE <br /> <br />'IOFAL A~..~'5~ED FEES <br />PRE¥iOLI$ RECEIPTS <br />THi$ RECEiPT <br /> <br />$30.00 <br /> <br />$31.50 <br /> $o.oo <br />$~.5o <br /> <br />~ALANCF' 0UE $0.00 <br /> <br />RECEIPT NO: 36830 <br />IYPE; OK CHECK ~t: 9851 <br /> <br />PAYEE: R & R ELECTRIC <br />RECEIVED BY: <br /> <br /> THiS 1S A VALID PF_,I;~41T · THIS PERfflIT EXPiI~S 180 DAYS FI~ IT~ ISSUE DATE. iF <br />CONSTRUCTION CEA~E~5 POR A I:~RIO0 OF 180 DAY~, OR ~F CONSTRUCTION PAIL~ TO ~EE-T ALL <br />RE(~JI~ENT~ OF STATE LA~gSANDIRARIiAN O3UNTYBUILD~N~ANDZONING ORD~NANCIBS, THIS <br />~IALL B~NULLANDVOIO. <br /> <br />RET,lARKS: ~ 5VC FOR PARK SPAOE RA~6?8?, <br /> <br />00NALD E. WOOOLE~, I"IARiON COglNFYBUiLDiNG OFFiCiAL / BY ..................... ~ <br /> <br /> <br />