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								    MARION COUNT'~BUILDING INSPECTION
<br />SENAT¢~'.~ BLDG, NO,, 225
<br />220 HIGH STREET NE
<br />        SALEM, OREGON 97301
<br />
<br />      PHONE 588-5147
<br />CODE-A-PHONE 4:30 PM, - 8 O0 AM
<br />
<br />05/03/89              TIME:
<br />
<br />LA~KFORIB, BOB R.
<br />
<br />,3 :.46: 54p
<br />
<br />   ~ONTRA~T C~TYj,                     UGB
<br />MARION COUNTY                                NO
<br />
<br />    11892 NARBLER :LANE
<br />AURORA
<br />
<br />OR g?o02
<br />
<br />6645 ,CON NYBERG RE)
<br />TUALAT IN, OR
<br />PHONE-:. 692-5513
<br />
<br />SITE NUNSER:
<br />      VALUATI ON:
<br />
<br />WI[~TH 10           DEPTH    19           AREA         33    UN~TE            3S IRREG LOT
<br />
<br />       RESI DENTI A[~ ',
<br />OOCUPANO~
<br />
<br />CENTURY MEAIO0~ PHASE 4
<br />              ?069
<br />
<br />1N      CO.N~n AR                     1
<br />NO             NO
<br />
<br />TYPE: ELECTRICAL                    PERMIT OR APPLICATION NO:
<br />
<br />15439
<br />
<br />CONTRACTOR, NO. 35151
<br />LICENSE NO:
<br />PARKIN ELECTRIC INC
<br />RT 5 80X ?9-K
<br />SHERNOOD
<br />PHONE: 246-1301
<br />
<br />~UPERVISING ELECTRICIAN/NUrSER
<br />
<br />    ITE~
<br />NOSILE HOMEiSpAcE (SV~ EQUIP),
<br />MQ~ILE HO~E C~NNECTION
<br />FLEET .SUF~HARGE -ZONE 6
<br />ELECTRICAL STATE SURCHAR~    ,, ,:~, :.,    .
<br />
<br />QUANTITY             A~3UNT
<br />1                    $25,00
<br />1                    $25.00
<br />                     ,, $7.68
<br />                     $2.50
<br />
<br />· TOTAL ,~E~38ED FEES
<br />PRMV I ~OS RECEX PTS
<br />THIs ,i/REOEI PT
<br />
<br />~B0,18
<br />B0.18
<br /> $o.oo
<br />
<br />BALANCE DUE                                                             $0.00
<br />
<br />PAYEE:                                            ,¢                           :               ~.,,,~',,.RECEIpT NOt
<br />                                                    '                                      TYPE=,;,' :/CHECK
<br />RECEIVED BY: pr                            ~::i '~'"¢ ~--~-     "                      '
<br />
<br />* THIS iS' A VALID PER~iT*a< ~TH~S:.~E~i,,,,T,~¢~B<~I~R~:,~:8Ow:~AYS~?FRO~ ,~,TTS,..[SSUE ,DATE." IF
<br />~TioN ~                                  A~ PEI~I30~;OF~:,~,8,,O~',DA~.~R ~F,~,~T~ION, 'FAILS:,rTO, Nf-~ET ,ALL
<br />REQU~RI~ENT~ ,,OF ~-"I'ATE LAt~ ,:~,.I~a~,,ION,,,,t:~UNTY,¢~BUiLDING'~AND,,. ZONZN6 ;,ORD[NANCES. THTS PEP~IT
<br />SI.-LALL 8f~OOl'4E 'NULL: AND VOiD                   ' ~ p,
<br />
<br />REMARKS: r, lH SERV & CONN R~731B
<br />
<br />0ONALO E. ~E~ODLEY. MARION COUNTY BUILDING OFFICIAL / 8Y
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