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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 />' OWN~, ['E: 10/28/9'1 <br /> S~TUS AOU SEs~VEN%SE 8;N <br /> <br />16:11:02 <br /> <br />3~0 EYE'RSREEN OR -- <br /> <br />MAILING ADDRESS; <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br /> ~0NfRACT CITY; OGB: <br /> <br />AUMSVI LLE NO <br />SUSOIVISION; <br /> <br />OCCUPANCY: RE31 DEN 1 [ AL <br /> <br />NO OF BEDROOMS <br /> <br />LOTI <br /> <br />BLOCK SECTION: <br /> <br /> SiTE NUMBER; <br />fowNsMi¢: ~I~ALUA'I'ION;zONE; <br /> <br />14'705 <br /> <br />MAP: <br /> <br />0EP'IH: <br /> <br />IYPE: ELECTRICAL PERMIT OR APPLICATION NO; <br /> <br />36419 <br /> <br />CONTRACTOR. NO, 27459 <br />LICENSE NO: <br /> R & R E"[ectpffc inc <br />Po ~ox 52 <br />lumen, 97392-0000 <br />PHONE: ?43-2548 <br /> <br />,SUPERVISING ELECTRICiAN/NUMBER <br /> <br /> iTEM <br />ADDiTiONAL FEES <br />ELECYRiCAL STATE ~URCHARGE <br /> <br />QUAN'T'II'Y AMOUNT <br /> 1 Sso.oo <br /> $1.5o <br /> <br />TOTAL ~ESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$2'1,5~ <br /> <br />BALANCE DUE <br /> <br /> PAYEE: R & R E'lectmim inc RECEi~'T' NO: 38350 <br /> RECEIVED BY: CL .............................................................................................. TYRE; CK CHECK ~: 9990 <br />* TH~$ IS A VALID PEI~IIT * THIS PEF~,11T EXPIRES 180 BAYS FRO~I iTS ISSUE OAT£. IP' <br />CONSTRUCTION CEA~E~ FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO MEEf ALL <br />~EQUIREMI~T~ OF ~TATE ~ AND MARION COIJNTY BUILDiN6 AND ZONIN6 ORDINANCES, THIS PERMIT <br />E~HALL BECOD1E NULL AND VO/O. <br /> <br />REIV~RKS: MPG SVC R~3030 <br /> <br />DONAL0 E. NOODLEY, ~AR~ON COUNfY BU[LDZNG OF'F'JCiAL ? BY .................................. ~ <br /> <br />OFFICE COPY <br /> <br /> <br />