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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 />of a registered builder, <br />The work ,,~d~ be performed by a registered bander <br />Other, <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />,ow~L~'E: 11/29/90 TIME= 18t4t:2% <br /> <br /> EVERGREEN ESTATES 62 SP <br /> <br />TAX LOT <br /> <br /> 5'/'708--000 <br />CONSTRUCTION TYPE <br /> <br />:CATSGOPY <br /> <br />OCCUPANCY <br /> <br /> 2OO 1 t rH <br /> AUtc~V iLL_E <br />USE OF 8(JILDING <br /> <br />OR 97325 <br /> <br />N <br /> <br />NO <br /> <br />386? 1NOLVERINE NC <br />SALE~ OR 9?305 <br />PHONE: 581-1965 <br /> <br />BLOCK <br /> <br /> ~VEI~REEN ES t AT P-,~ <br /> <br /> SiTE NUIV~ER: 70 <br />: TOWNSHIP RANGE ZONE <br /> <br />62 SPACE5 <br /> <br />' MAP <br /> <br /> 62 <br />WID'I H DEPTH <br /> <br /> AREA UNITS IRREG LOT CORNER <br />1234 5P . YES ! NO <br /> <br />FYPE: ELECTRICAL <br /> <br />CON f ~fOR, NO. 27459 <br />LIC~SE NO: <br />R ~ R ELECIRiC <br />P.O. 80X 52 <br />TURNER, OREGON 97392 <br />PHONE: 743-2546 <br /> <br />PERMIT OR APPLICAT,[ON NO: 28959 <br /> <br /> SUpERV iSIN6 ELEqCTRI ClAN/NUmBER <br /> ~ELL RiCE / 1673-S <br /> <br /> 1 I'E~ <br />SERViCE/FEEDER 101 IO 400 AMPS <br />ELECIRiCAL SIAI E SURE,lfl,ARGE <br /> <br /> $60.00 <br /> $3.o9 <br /> <br /> TOTAL ~x~ESSEO FEEL~ $63.90 <br /> PREA/iOU8 RECEi PT'5 $74.55 <br /> 'rHZ5 RECEIPT -$~. 55 <br /> 9¢ua''' $o,oo <br /> PAYEE: R & R ELECTRIC RECEIPT NO~ 30859 <br /> RECEIVEO BY: c12 TYPE: ck CHECK ~: 0 <br />~ THIS I~ A VALID ~IT ~ TH~ P~IT ~PI~ 100 ~Y5 P~ IT8 I~E ~TE. IF <br />~ST~CTI~ C~ ~ A PERIO~ OF 180 ~Y~, OR IF ~ST~CTi~ FAI~ TO ~EET ALL <br />~tR~'f8 OF ~TATE ~ ~D ~I~ ~NTY BUILD[N6 ~D Z~IN60RDIN~C~, THIS P~IT <br />~ALL B~E NULL ~D ~[D- <br /> <br />RE~RKtS: 200 Af4P SVC W/ 2 CiR R~C~t352 <br />DONALD E. NOODLE~'. I~RION COUN"rY BUILDING OFFICIAL / BY ........... ~ ................. <br /> <br />FORM # MO 15-56 neff 4/9g OF FiCE COPY <br /> <br /> <br />