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MARION COUNTY <br /> BUILDING INSPECTION <br />ScI/itlor Building .~ 220 High Street NE * Secimd Floor · Sale,n, Oregon 97301-367() <br />Office Hours: 8:00 -413¢~ Phone: 588-5147 Code-A-Phone: 4:30 p.m.- 8;110 a,m. <br /> <br />:.%., E: 08/10/88 <br /> <br />RSSLDENT:A;.. <br /> <br /> 14955 4TH ST NE <br />A, RORA OR 97002 <br /> <br />AURORA NO <br /> <br />PO [aOX 497 <br />AURORA 97002 <br />PHONE: ~' =' <br /> o78~m779 <br /> <br />~. ~E NUIv!BER: 5157 <br />VAUUAT ION: <br /> <br />100 '!65 <br /> <br />NO <br /> <br />3 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO_ <br />LICENSE NO; <br />LATE, TOM <br />PO SOX ~27 <br />AURORA 97002 <br />PHCNE; $'78-$779 <br /> <br />PERN;T OR AI~PLICA.TiON NO: 9010363 <br />,.JP~RV.,>~N.~ ~ ...... , ~C~ AN/Nd <br /> <br />RES ¢~rRZNG < 2000 SO FT' <br />FLEET ~RCHARGE -ZONE 8 <br />ELEC,RI~A~. STATE SURCHARGE: <br /> <br />TOTAL A~ScSo, E,,) FEES <br />PREV iGUS RECEIPTS <br />THiS RECE2 ?T <br /> <br />OU.&NTITY AMOUNT <br /> : $50.00 <br /> $7_58 <br /> $2.50 <br /> <br />$80.18 <br /> $0.00 <br />560.18 <br /> <br /> 8Aia. NCE DUE <br /> <br />PAYEE: LAIS, TOI~ ~'%~ . RECEZPT NO; 11047 <br />RECEIVED BY; DM ~ 'iYPE: IN CHECK ~: 0 <br /> <br />· THZS IS NOT A PE~,MZT. THIS APPLICATION ~UST GO THROUGH A REVIE~ PROC~S.S ~',,~-IERE THE <br />FOLLOWING IYEIST BE COMPLETED. ZT ZS THE RESPONSIBILITY OF THE APPLZCANT TO AS,SURE THAT <br />ALL NECESSARY INPORIVfATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEWt 8¥ ........... DATE <br />Rt,!MA, Riff5: RES <br /> <br />¢',~-v ._L.rRiSDiCTiON: BY DATE <br /> <br /> <br />