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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7'301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br /> DATE: 05/26/8? TIMEr 12:48:25p <br /> <br />OWNER: RICHARDS, DENNIS <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />TAX LOT: <br /> <br />R <br /> <br /> 285 CLEVELAND STREET <br />/~U~VILLE OR <br /> <br />97325 <br /> <br />CON~TRUCTION TYPE: <br />CONTRACT CITY; <br /> <br />UGB: <br /> <br />S. aJ'4E <br /> <br />PHONE: 749-2616 <br /> <br />SITE NUMBER: <br /> VALUATI(~: <br /> <br />1127 <br /> <br />LOT: 8LOCK: <br />WIDTH: DEPTH: <br /> <br />AREA; UNITS; I¢~REC, LOT'. N CORNER; N <br /> <br />51 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 27459 <br />LICENSE NO: <br />R & R ELECTRIC <br />P.O. BOX 52 <br />TURNER, OREGON 97392 <br />PHONE: 743-2546 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> E~JPERVISING ELECTRICIAN/NUrSER <br /> RU~,~ELL RICE / 1673-S <br /> <br /> ITEM <br />SERV CHANGE ONLY-EX[STING RE~IDENCE <br />TWO OR IrK)RE NENCIRCUITS;ALT OR EXT <br />FLEET ,~URCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $20.00 <br /> $3,84 <br /> $1.5o <br /> <br />TOTAL A.E~E~ED FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$45.44 <br /> $0.oo <br />$45.44 <br /> <br />CUE $0.00 <br /> <br />PAYEE~ R & R ELECTRIC RECEIPT NO: 2815 <br />RECEIVED BY.· CL . ' TYPE; CK CHECK :~: 5789 <br />· THIS IS A <br />~CTZ~ C~ ~ A ~RZ~ ~ 1.80 ~, ~.IF ~~ FAIG TO ME~ A~ <br />~~ OF ~ATE ~ ~D ~[~ ,~ ~'t~I~ ~D Z~iNG ORDI~C~, ~IS ~IT <br /> ~LL ~D ~ID. <br /> <br />00NALD E. iNOODLEY, MARION COL~TY E~JILDING OFFICIAL/ BY <br /> <br />OFFICE COPY <br /> <br /> <br />