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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 />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />OWN~%IE: 10/28/9~ 'l l~lE: ]6:14:35 TAX LOT: CATEGORY: <br />SITUS ADDRES.~F..~V~{(~REEN CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />345 EVERGREEN OR <br /> <br /> CONTRACT C~TY: UGB: OCCBPANT LOAD: <br /> <br />9?325 <br /> ,AUIV~:SV i LLB NO <br /> <br /> PHONE: <br />LOT: <br /> <br />BLOCK; <br /> <br /> Sire NUMBER: <br />SECTION: TOWNSHIP: RANE~ALUAT ION :: ZONE: <br /> <br />AREA; UNITS: ~RREG. LOT: :CORNER <br /> N0 '" '"""' NO <br /> <br />MAP: <br /> <br />TYPE: BLEC'f'RIOAL <br /> <br />CON'f'RAC'1'OR, NO. 2?459 <br />L. ICS~E NO~ <br /> R & R E"lec~nffc <br />Po Box 52 <br />'f'unnsn, <br />PHONE: ?43-2545 <br /> <br />PER~'F OR APPLiCA'¥ION NO~ 36421 <br /> <br /> 3UPERVI$1NG ELECTRICiAN/NUMBER <br /> <br /> iI'E~ <br />ADDI'I'IONAL FEE~ <br />EI_EC'¥'RZCAL STATE SURCHARGE <br /> <br />PAYEE: R & R E']ec~ric imm <br />RECEIVED BY: CL <br /> <br />QUAN'11 'fY AN~JN f <br /> 1 $30- 00 <br /> $1.5 U <br /> <br />TOTAL ASSE~EO FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIP'f' <br /> <br /> .50 <br />$0. ou <br /> _so <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIP'f NO: 38352 <br />TYPE: OK CH£CK ~: 9990 <br /> <br /> ~ 'THIS IS A VALID PE~I[¥ * 'rHI5 PER~ZT EXPIRE~ 180 DAY~ FRO~I iT~ 1,.SSUE DA'I£. IF' <br />C(~STRUCT[ON CEASES POE A PERIOD OF 180 DAY~. OR IF CONSTRUCTION FAIi...~ TO REE'r ALL <br />,~QUIRI~IENTS OF STATE LANS AND t,~RiON COUNTY BUILDING AND ZONING ORDINANCE,.,%, THIS PEI~4[T <br /> ALL BECOf~E NULL AND VOID. <br /> <br />REI~ARKS: NIP'G SVC k1¢3030 <br />U(,)NAL..[3 E- NOODLEY, r4AR[ON COUNTY BUILDING OFF'iCiAL / BY ................................ ,~ ............... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 FI~V, 4/90 <br /> <br /> <br />