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MARION COUNTY BUILDING INSPECTION <br /> 1~, SEi~c~TOR 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 />I am performing wo¢k on a@roperty I own er occupy, <br />I am a registered builder OR ( ) ~he authorized representative <br />of e registered builder. <br />The work will be performed by a registered builder, <br />erbar <br /> <br />0?/06/89 TI:NEzlO=54.=21~ <br /> <br /> JC~,flNSTON, RI D6A,~AY J. <br />~ITUS ADDRESS: <br /> <br />11708 NARaLER LANE, :NE ¢ON"CRAC'rOITY'. UGB: <br />AURORA OR 97002 <br />USE O¢ BUILDING: ~I¢~A~'~N ~NTY NO <br /> <br />RESIDENTIAL <br /> <br />PHONE: 644-7085 SITE NUMBER: 7610 <br /> ~ VALUATION: <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS: <br /> <br />CENTURY MEAEXD!,N~ 4TH ADD <br /> <br />WIDTH'.' .13. DEPTH: '2 AREA; 33 IJNi~S:: ' ,;,~S ,IRRE(!i. LOTI 1W ,r'CORN~R; :AR <br /> <br /> NO NO <br /> <br />MAP: <br /> <br />TYPE= ELECTRICAL PERMI~ORAPPLICATION NOd <br /> <br />CONTRACTOR, NO. 35151 <br />LIOENaE.'NO: <br />PARKIN ELECTRIc INC <br />RT 5 80X ~,9-'-K <br />..'.'.'.'.'.'.'.'.'~HER'N(DOD 97140 <br />'RHONE~46-~'301 <br /> <br />SUPERVISING ELECTRICIAN/NUNBER <br /> <br />ELECTR'rOAL STATE SURCHARGE <br /> <br /> . (~J~TITY A.NtOUNT <br /> 1 $ 25. O0 <br /> ~ $25. O0 <br /> ~7.68 <br /> 2.50 <br /> <br /> 460.18 <br /> 2.32 <br /> 17.86 <br /> $0.00 <br /> <br /> NO= 18381 <br /> ,CHECK ~: 2:189 , <br /> <br />-- F~I-~ TO I~IEET, ,ALL, <br /> Z~NIN80RDINANCE~ ~THI$ <br /> <br />PREVIOUS RECEIPTS <br />THI~,~'f~JDCEtPT <br /> <br /> -BALANCE DUE <br /> <br />PAYEE., JOHNS:TONe ~t'DG~.AAy ~. .. <br />RECEIVED BY: PR <br /> <br />~ THIS IS A VALID ,PEI~4IT <br /> <br />8EC~ NUI.~AND VOID. <br /> <br />REMARKS: SERV & CONN R~755~,: <br /> <br />DONALD E. NOODLEY,..,IYIARION.COUNTY.B.MILDIN6t OFFICIAL /~ ..... <br /> <br />FORM ¢~ MC ~5-5B R~V, 11/88 OFFICE COPY <br /> <br /> <br />