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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other_ <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />SnUS*~DDRES~ERK[NS' OAV[O G <br /> <br />TAX LOT[ <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 20813 FILBERT S'f <br /> ,AU F,~0RA <br />USE OF BUILDING: <br /> <br /> , CONTRACT CITY: <br />NE <br /> <br /> AURORA <br /> <br />MAILING ADDRESS: <br /> <br />NO <br /> <br />OCCUPANCY: RES [ DEN T I AL <br /> <br /> PHON E: <br />LOTI <br /> <br />BLOCK: SECTION: TOWNGHLP: <br /> <br />51'lE NU/VlBER: 10232 <br />BAN~.LUA'T' ] ON: ZONE: <br /> <br />MAP; <br /> <br />W~DTH: DEPTN: AREA: <br /> <br />uNiTs: IRREG t. OT: CORNER; <br /> <br />[YPE: ELEC'TRiCAL <br /> <br />CONI RACIOR, NO. 50829 <br />LICENSE NO~ <br />· JR ELEC f'RtC <br />PO 8OX 256 <br />HUBBARD, OREGON 9'?032 <br />PHONE: 98!-3913 <br /> <br />PERNIT OR AP~LiCA'f~ON NO: 25856 <br /> <br /> 5UPERV1$1NG ELEC'1RICIAN/ND~IBER <br /> JOSEPH V, DRYDEN ~ 3138S <br /> <br /> H'E~ <br />~OWiLE HO~E ~PACE (SVC <br />NIOBIL. E HO~E CONNEC~'~ON <br />PLEEf' 5DRCHAF~E --ZONE <br />ELECTRICAL ~'~Afg <br /> <br />QUANTITY A~OUNI <br />1 $25_00 <br />! $25,0U <br /> <br /> $2.50 <br /> <br /> TOTALA,%~ED FEES $~0,~9 <br /> PREVi00$ RECEIPTS <br /> '['Ht~ RECEIPT $60.18 <br /> <br /> BALANCE 0UE SO,DO <br /> <br /> PAYEE: JR ~LEC'fRIC RECEIP'f' NO: 2?386 <br /> RECeiVED BY: cl 'fYPE: ck CHECK ~; 3559 <br /> <br />* ~EJS IS A VALID PEI~4IT ~ THIS PE~IT EXPII~ 180 BAYS EROf4 ITS I~E ~16- IF <br />~ST~CTI~ C~ FOR A P~IOD DP 180 ~, OR IF ~ST~CTI~ EAi~ TO MEET ALL <br />~IR~TS OF STATE ~ ~D ~RI~ ~NTY BUILDING ~D Z~iNG ORDiN~C~. TH[S PE~IT <br />~ALL B~E NULL <br /> <br />REFIARKS: mh ~vc/con r~3891 <br /> <br />DONALD ~- NOOOL~Y, f,'tAR~0N COUNTY BUILDING OP'F.tCI,AL / BY ............... ~ <br /> <br />OFFICE COPY <br /> <br /> <br />