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MARION COUNTY BUILDING iNSPECTION <br />SF. NATC~,. 8LDO, NO, 225 <br />220 HIGH STREET NE <br /> SALEM:, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 A M <br /> <br />04/06/89 TIME: 12:02; 12p <br /> <br />FoRSON, RAYMOND & PATRICIA <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />RESIDENTIAb <br /> <br /> 11872 <br /> AURORA <br />USE OF BUILDING <br /> <br />WARBLER LAME NE <br /> <br />OR 97002 <br /> <br /> CONTC~ACT CII'Y UO8 <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br /> 20145 NE SANDY ~51 <br /> TROUTDALE, OR 97060 <br /> PHONE; 665-5539 <br /> <br />LOT 8LOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> CENTURY MEADE)NS 4TH ADD <br /> <br />SITE NUF4BER: 5902 <br />RANG~ALUATION~zoNB MAP <br /> <br />WIOTH <br /> <br />33 <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 35151 <br />LICENSE NO: <br />PARKtN ELECTRIC INC <br />RT 5 BOX 79-K <br />SHERWOOD 97140 <br />~40~E: 245-130] <br /> <br />PERMIT OR APPLICATION NO: 9014992 <br /> <br /> SUPERVISING ELECTRICIAN/NU~ER <br /> 896-S <br /> <br /> ITEM <br />MOBILE HOME SPACE (SVC E~UIP) <br />MOBILE HONE CONNECTION <br />Ft. EET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE ,SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $25.00 <br />1 $25.00 <br /> $?.68 <br /> $2.5o <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$60.18 <br /> $o_oo <br />$6018 <br /> <br />BALANCE DUE $0_00 <br /> <br />PAYEE: ~DMIRAL MO~I~:~OMES ~ECEIPT NO: 15921 <br />RECEIVED BY: PR J~_~=,~__ ~ TYPE: OK CHECK ~: !385 <br /> <br />~ THIS IS NOT A PE~IT. ~I8 A~PLICATI~ ~ ~ ~ A R~I~ P~ ~ERE ~E <br />FOL~IN6~T BE ~PL~ED. , ~T IS ~E R~SIBILi~ OF,~E APPLI~T TO ~RE ~T <br />ALL N~ INFO~TI~ H~ B~ ~VIDBB. <br /> <br />PLAN REVIEW; BY .......... DATE <br /> <br />RE~ARKS: ~ SERV/CONN R~7232 <br /> <br />CITY JuRIsDICTION: BY ........ DATE <br /> <br />~OBM ,~ MC ~-s~ R~v ,,'se OFFICI~ COPY <br /> <br /> <br />