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MARION COUNTY BUILDING INSPECTION <br />SENATO,~ BLDG: NO 225 <br />220 HIGH-STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 RM - 8::00 A M <br /> <br /> ©ATE: 04/12/89 TIME: 8:40:58a <br /> <br />OWNER FORBON, RAYMOND & PATRZCIA <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />CmEGORY RESIDENTIAL <br /> <br /> 11872 WARBLER LANE <br />AUROPA <br /> <br />20~45 NE SANDY ;~51 <br />TROUTDALE, OR 97080 <br />PHONE- 565,-5539 <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br />SiTE NUMBER: <br /> VALUATION: <br /> <br />OCCUPANCY <br /> <br />OCCUPANT I J DAD <br /> <br /> NO OFBEDROOMS <br /> <br />CENTURY MEADOWS 4~H aDD <br /> 8902 <br /> <br />LOT BLOCK SEC T'ION <br /> ? 19 <br /> <br /> TOWNSHIP RANGE ZONE MAP <br />33 38 II,N AR 33 <br /> <br />UNITS IRREG LOT <br /> <br />NO CORNER:NO <br /> <br />CONTRACTOR, NO, 35151 <br />LICENSE NO~ <br />PARKIN ELECTRIC IRC <br />RT 5 BOX ?9-K <br />SHERWOOD 99140 <br />PHONE~ 248-1301 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ;TEM <br />MOBILE HOME SP~CE (~VC EQUIP) <br />N~}B[LE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 8 <br />ELECTRICAL STATE SURCHARGE <br /> <br />OUANTITY AMOUNT <br />I $25,00 <br />~ $25_00 <br /> <br /> $2_50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$60 18 <br />$80.18 <br /> $o.oo <br /> <br />BALANCE DUE $0-00 <br /> <br />PAYEE; RECEIPT NO~ <br />RECEIVED BY: PR TYPE: CHECK <br />~ llqIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 DAYS FROt, l ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A~ PERIOD OF 180 ~. OR IF ~ST~CTI~ FAI~ TO MEET ALL <br />REdIReCTS OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDIN~C~. ~IS PE~IT <br />~ALL BEdE NULL ~0 <br /> <br />REMARKS:: MN SERV/CONN R~7232 <br /> <br />:]ONALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL ,/ SY <br /> <br />OFFICE COPY <br /> <br /> <br />