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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 />performing work on a property I own or occupy. <br /> <br />I hRve re&d ar)d aDree to the terms Stated on the rever.~e side of <br /> <br />Owu~,~,lE: '10/28~91 TIME; 16:09:24 <br /> <br />CONSTRUCTION TYP~: <br /> <br /> 320 EVERGREE;N DR <br /> ALJMSV i LLE <br />gSE 01- BUILDING: <br /> <br />¸OR <br /> <br />AUNSV~LL6 NO <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: RE~i DEN'1' l Al... <br /> <br />OCCUPANT tOAD: <br /> <br /> PHONE: <br />LOf: BLOCK: S~CTION: TowNsHIP: <br /> <br />SiTE NUMBER: 14704 <br />RANG~$LUATiON: ZONE: MAP: <br /> <br />AR6A: : Uf~i'~: ' inner. Lbf: ; CdHNEm <br /> ' Nf) ND <br /> <br />'f'YF~E: ELEC I'RiCAL <br /> <br />CON T'RACTOR, NO. 27459 <br />LICENSE NO: <br /> R & R E'lect~i¢ inc <br />Po Box 5~ <br />f'ur*ner', 97392-0000 <br />PHONE= 743-254~; <br /> <br />PERMi'f' OR APPLICATION NO: 36418 <br /> <br /> ~UPERViSiNG ELECTRiCIAN/NUMBER <br /> <br />AOOiTiONAI_ FEE~ <br />~:L~CTRICAL S'tA'f'E SURCHARGE <br /> <br />QUANTITY ,.~UN'1' <br /> 1 $30. O0 <br /> $1 <br /> <br /> TO'rAL A,.~$,SE~EO FE~ $31.50 <br /> PREVIOUS RECEIPTS $0_00 <br /> 'THIS RBCEiPT $3t.5(2 <br /> <br /> BALANCE DUE $0_00 <br /> <br /> PAYEE; R & R E"lectnic lr~c RECE~P'f' NO: 38349 <br /> RECeiVED BY: CL TYPE: CK CHECK ~; 9990 <br /> <br />* THiS 18 A VALID I>~l~qll ~ TH1S P~RI~iT ~fXPIR~ 180 DA~ F~ iTS I~E ~l~. IF <br />~1'~1~ C~B FOR A PgRiOD OF 180 PAYS, OR 1F ~T~CTi~ FAI~ TO ME~T ALL <br />~]R~TS OF ~fATE ~ ~O ~R~ ~NTY B~IL~IN~ ~D Z~IN~ ORD]N~C~, THIS PE~IT <br />~ALL B~E NULL ~D VOID. <br /> <br />R~MARK5: MPG SVC R~3030 <br />DONALD g. ~OODLEY, MAR/ON O~UN'f'Y BUiLDiNG OFFiCiAL / 8Y ................................ (.!.~ ................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />