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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG 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 APPLIGANT <br /> <br /> DATE <br /> <br />OWNER. <br /> BATE: 11/20/90 rfME= 10:28:35 <br /> <br />situs A~r~R~f~,~ARiICAY, JESU~ <br /> <br />2:¢0 EVEF';'GR~gN DR <br /> <br />OR. 97'3~5 <br /> <br /> TAX LOT CATEGORY <br /> CONSTRUCTION TYPE : OCCUPANCY RE,.~ DEN i iA[. <br /> <br />3 <br /> <br /> AUI~SV I LLE. NO <br /> <br />MAILING ADDRESS <br /> <br /> 4305 GARY ~T <br /> KEI2'ER, OR 9?303 <br /> PHONE.: 390-2267 <br />LOT BLOCK <br /> <br />TOWNSHIP <br /> <br />r-.;'VE, R~REEN IV~iLE HO~E PARK <br /> <br />S1]E NU{VlF¢ E-R: 11614 <br />RA~,'~LUAI' iON .+ ZONe <br /> <br />MAP <br /> <br />AR~A <br /> <br />UNITS <br /> <br /> IRRE(a LOT CORNER <br />L;F NO ' 140 <br /> <br />IYPE: ELEC['R~CAL <br /> <br />CONIRAC1OR, NO. 14922 <br />LICENSE NO: <br />CENTRAL OREGON MOMILE <br />285 SO.PAC~PtC HIGHWAY <br />~,;YO~URN, OREGON <br />PHONE: 981-3141 <br /> <br />REF,~I'f' OR APPLICATION NOz 28446 <br /> <br /> ~UPERViSING ELECTRiCIAN/NU~3ER <br /> <br />MANUFACFUR~O HOME. SERVICE/FEEDeR <br />ELECIRICAL SI'AlE ~RCHARG~ <br /> <br />QUAN I' i l Y AC4OUN l <br /> 1 $35.00 <br /> Sq <br /> <br />TOT'AL ,A,5.~EO FEES <br />PRE.WIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />36~'75 <br />$0.00 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> 0 <br /> RECI::iV~-D BY.+ CL IYPE: CHECK ~: 0 <br /> <br />· THIS iS A VALID PE~IT ~ THIS PE~IT ~P~R~ 180 ~ F~ ITS I~E DATE. <br />~ST~CTI~ C~ ~R A PERIOD OF 180 ~, OR IF ~ST~CTI~ FAI~ lO MEET ALL <br />R~iR~'f~ OF STATE ~ ~D ~R[~ ~NTY BUILDING ~0 Z~iNG ORDIN~C~, THiS PE~iT <br />~ALL BEdE NULL ~0 <br /> <br />PAYEE: RE'CEiPf NOt <br /> <br />REMARKS: MOBILE HOME. F~DER <br /> <br />DONALD E. NOODLE~, MARION COt,INlY BUiLDiNG OFFICIAL / BY ........ ~{- <br /> <br />FORM # MC 15-56 REV 4/90 OFFICE~OPY <br /> <br /> <br />