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MARION COUNTY BUILDING INSPECTION <br />$1=NATOR BLDG, NO, 225 <br />220 HIGH STREr=T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE ..,588-$14-7 <br />CODE-A-PNONE 4:30 P.M. - 8:00 A.M. <br /> <br /> of ~ registered builder, <br /> <br /> Other <br /> <br />DATE; 11/20/87 TIME: 10;38;31~ <br /> <br />OWNER: KNOX, I',4ICHAEL I t~ ~OTi iCATEGORY: <br /> <br /> 10965 JAMES NAY DR SE <br /> i OCCUPANT LOAD: <br /> <br /> ~&~ RION COUNTY!NO <br />USE OF BUiLDiNG: ~ i !N0 0¢ ~EOR00M$ <br /> RES;[0B~IT:(AL ACCEC-~ORy STRUCTURES <br /> MAtLLNG ADDRESS: ¢ <br /> i SUBDIVISION; <br /> CA~E~.A HEIGHTS ~1 <br /> <br /> PHONE:,, ?69-?259 ,~ S~TE NUMBER: 2741 <br /> ~ VALUAT Z ON: <br /> <br /> WIDTH: 249 'DE~H: 4?4 iAREA: I 19028- ~UNIT~: S¢ ~ IRREG. LOT'. NO !COR~: <br /> <br />TYPE: ELECTRICAL, PERMIT OR APPLICATTON NO: 5629 <br /> <br />CONTRACTOR~ NO. 4.0298 SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE NO; M ,J <br />GRISWOLD ELECTRIC <br />22856 JENNIE RD <br />LYONS, OREGON <br />PHONE t 859-.2246 <br /> <br /> i TEM QUANT ITY A~4 ] JNT <br />C/T FEEDER TO 100 AM~,~,3 1 $~, .... <br />FLEET SURCHARGE --ZONE ,3 $3,8,4 <br />ELECTRICAL STATE SURCHARGE $ <br /> <br /> ;TOTAL A,SSE,.SSED FEES <br /> , .;:PREVIOUS R~E I ~>TS $0. <br /> <br /> ': 8~EA~CE DUE ,', $0.0C <br />PAYEF.~.. GRISWOLD ELECTRIC , ' : ::RECEIPT NO: 5~94 <br />RECEIVED SY: pb , %YPE: 'bK: ~HE:OK ~ 3qB'i <br /> <br />~CTZ~ C~ F~ A PERI~ FAI~ TO ~B ALL <br />~ALL BEdE NULL ~D ~[D , =;, <br /> <br />REMARKS: R~S274 <br /> <br />DONAL0 E. N~OLEY, MARION C~NTY BU!LDIN~:OFFZCrA~ ~,:BY <br /> <br />FORM # MG ~5'56 REV ~/~ OFFICE COPY <br /> <br /> <br />