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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 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br /> Other <br /> <br />DATE; 01/04/88 TIME: 8:47:28a <br /> SWEET, RCSERT i TAX LOT; <br /> <br /> ?636 ErIE LANE <br />AU~V I LLE OR <br /> <br /> i CONSTRUCTION TYPE: <br /> <br /> SE /'66~T'kX~¥'~,+Y; i¢50: <br />97325 I ~ <br /> MARION COUNTY ! NO <br /> <br />RESIDENTIAL <br /> <br />USE OF BUILDING; <br /> <br />MA~UNG AOURESS: ! $6 ";6';~i'~i6;~; ................ <br /> ' THE RANCH <br />2325? SANTIAN WAY SE <br />LYONS 97358 <br />PHONE: 859-254? <br /> <br />7 4 <br /> <br /> SITE NUMBER: 289? <br /> VALUATION: <br /> <br />28 I 8S : 1N I AR 48 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 40298 <br />LICENSE NO: <br />GRISWOLD ELECTRIC <br />22856 JENNIE RD <br />LYONS, OREGON <br />PHONE; 859~2246 <br /> <br />PER,lIT OR APPLICATION NO: 6135 <br /> <br /> ,SUPERVISING ELECTRIC~AN/NUN1BER <br /> N J GRISWOLD <br /> <br /> ITEM <br />TWO OR MORE NEW CIRCUITS;ALT OR BXT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE; GRISWOLD ELECTRIC <br /> <br />QUANTITY AHOUNT <br /> 1 $20.00 <br /> $3.84 <br /> $1.00 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY: J8 <br /> <br />$24,84 <br /> ~0.00 <br />$~4_84 <br /> <br />$0_00 <br /> <br /> 6725 <br />'¢ ,". TYPE: CK. CHECK ~ 3233 <br /> ~::IT5 ISSUE DATE. IF <br /> FAII.~TO~EETALL <br /> ORDINA~'~, THIS PfS~4lT <br /> <br />FORM" MC 1 ~'5~ REV 6/~7 OFFICE COPY <br /> <br /> <br />