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MARION COUf~'":f'¥ B4JILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 H.~GH ST.,BEET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 11/27/90 ~/IME: 39.'58.'30 <br /> <br /> EVP-..NGREEN ~ I LE ~fA 1E~ <br /> <br /> ~ fgVERGREEN ~JR -- <br />Al,, M,~.VI LLE OR 9. 325 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> T&X LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> ~QNTRACT C~TY UGB <br />AU~VILLg <br /> <br />PH ON e,: <br /> <br />NO <br /> <br />CATEGORY <br /> R~S~ DEN I iAL <br /> <br />OCCUPANCY <br /> <br />OCCUPANT ~OAO <br /> <br /> 5ire NUMBER: '~t801 <br /> VALUA7 ION: <br /> <br />UNITS IRREG LOT NO CO RN E~O <br /> <br />fYPE: ELEC IRiCAL <br /> <br />CON I f'~A(CT'OR, NO. 27459 <br />L ICENSg NO: <br />R ~ R EL-ECfRiC <br />¢,0. ~rjX 52 <br />r URNER, ORE{~N <br />PHONE: 743~25~6 <br /> <br />PER~I I OR APPLiCAflON NO: 28961 <br /> <br /> ~¢JPgF~V i SI Nt~ gLEC f R~ C ! AN/NU~f~P,R <br /> RUSSELL_ R![;E / lfS'f 3-S <br /> <br />OUANIi[Y AMOUNT <br /> Sq. t5 <br /> <br /> ~OTAL A~SE~SE0 FEE~ $35.f5 <br /> PREV~OU~ RECEiP]~ <br /> THIS RECEIPT $3~_V5 <br /> <br /> SALANCE OUE $9.00 <br /> <br /> PAYEE: R & R 6L¥~RiC RgCEiPI NOt 30690 <br /> REOgJVEO BY: OL TYPE: OK CHECK ~: 9027 <br /> <br />* THiS IS A VALIO PERMIT * fNI$ PM~'~IT ~XPIRES 180 OAfS FROM ITS I~E ~]E. <br />~ST~CTi~ CB~ FOR A PERIOO OF ]80 DA~, OR IF ~5TRUO'f'i~ MAILS fO MEET ALL <br />RE~iR~';5 OF STATE ~ ~B ~RI~ ~N'FY BUILDING ~D Z~IN60RDiN~O~, THiS <br />~ALL BE~8 NULL AND VOID. <br /> <br />RgNARKS: ~H 5VO ONLY R'~4352 <br /> <br />tXJNAL. O g. NOODL, EY, MARION OL)UNfY BUiLOiNG OFFiCiAL / BY <br /> <br />FORM # MC 15-56 REV 4/¢0 OF FICE COPY <br /> <br /> <br />