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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 />Other. <br /> <br />SIGNATUHb OF APPLICANT <br /> DATE <br /> <br />°WNEfAfE: 06/13/91 'fINE: 13:46:24 <br /> <br />SITUS AeIDnESSEVERGREEN PARK <br /> <br />RESI DENt iAL <br /> <br /> AU~I~Vi LLE OR. <br />USE 0¢ BUlL DING <br /> <br />CITY UGB OCCUPANT LOAD <br /> <br />EVERGREEN ESTAI~ IVIH PARK <br /> <br /> PHONE: SItE NUIVI~ER: 13963 <br />LOT BLOCK SECTION TOWNSHIP RANC~ALUA1 f O~; ZONE MAr' <br /> <br />WIDTH DEPTH AREA UNITS IRREG LOt CORNER <br /> <br />tYPE: ELD;CfRICAL PERI'IF OR APPLICATION NO: <br /> <br />32934 <br /> <br />CON I RACIOR, NO. 2?459 <br />LICENSE NO: <br />R A R ELt-CIRIC <br />P.O. BOX 52 <br />IURNER, OREGON 9?392 <br />PHONE: ?43-2546 <br /> <br />SUPERVISING ELEC'IRICiAN/NU~ER <br />RUS.SELL RICE / 1873-S <br /> <br />MANUFAC'IURED HOf4E SERViCE/FEEDER <br />ELECtRiCAL S'IAIE ,SURCHARGE <br /> <br />OUANIITY AEOUN'I <br /> 1 $35.00 <br /> $~.75 <br /> <br />TOFAL ASS~EO FEES <br />PRE¥iOUS RECEIP'fS <br />rHl$ RECEIPF <br /> <br />$36.75 <br /> <br />$36.~5 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: R & R ELEC'FRJ~C RECEiPt NO,* 34728 <br /> RECE,~VED BY: cl TYPE: CK CHECK ~:: 9638 <br /> <br />* THIS IS A VALID PERI,liT * THIS PE~iT EXPIRES 180 DAYS FR~ ITS ISSUE DATE. iF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO ~flE~ET ALL <br />RE~IRI~T~ OF STATE I_~ AND ~RION COUNTY BUILDING AND ZONING ORDINANCES. THiS PE~4IT <br />~ALL 88C~E NULL AND VOID+ <br /> <br />REIV~RKS: ~,d SVC R~6512 <br /> <br />DONALD E. WOODLEY, f4ARiON COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 16.66 REV 4,"50 OFFICE COPY <br /> <br /> <br />