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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />22.0 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 />of a registered builder. <br /> <br />Other <br /> <br />06/26/90 <br /> <br />TAX LOT: <br /> <br />CATEGORY: <br /> <br />SITUS AODRE~wO~I'H' ~ON <br /> <br />CONSTRUCTION TYPE: <br /> <br /> RE5 J. DEN ! I AL <br />OCCUPANCY: <br /> <br /> 11920 FARGO RD <br /> AURORA <br />USE OF BUILDING: <br /> <br />OR 9'7002 <br /> <br /> CONTRACT CITY~ <br />NE <br /> <br />~4ARION COUNTY <br /> <br />UGB: <br /> <br /> NO <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />PHONE: <br /> <br />, SECTION: TOWNSR IF'; <br /> <br />~i1'~ NUMBER: 10424 <br />nAN~LUAI' TON; ZONE: <br /> <br />MAP: <br /> <br />ARAA: UNITS: IRREG LOT: CORNER: <br /> <br />NO NO <br /> <br />'TYPE: ELEC'f'R~CAL <br /> <br />CONI'RACIOR, NO- 4204? <br />LICENSE NO: <br />[ODD KENAGY ELECTRIC <br />111NN 2ND STREET <br />CANSY, OREGON 97013 <br />AHONE; 263-8828 <br /> <br />PER~4i'I' OR APPLiCATiON NO: 25035 <br /> <br /> ~J~tJPERVlSiNG ELECTRiCiAN/NUIN~ER <br /> <br />C/I SERV 201-400 AMPS <br /> FEEDER 101-200 AMP~ <br />TWO OR r4ORE NE~ CtRC,;Llt'fS;AL:r OR E. XT <br />~LEEf' SURCHARGE -ZONE 6 <br />ELECf'RJCAL S'f'A'rE SURCHARGE <br /> <br />QUANFif'Y AP4OUNf' <br />1 $100.00 <br />2 $80_00 <br /> <br /> $'~. 68 <br /> $12.00 <br /> <br /> TOTAL A,5~ESS~'D F'EE~ $259.58 <br /> <br /> THJ$ RECEIPT $t47.00 <br /> BA~CE ~E $0.00 <br /> PAYEE: I'OBD K~AGY ELECTRIC RECEIFI' NO; 26834 <br /> RECEIVEE) BY: PR TYPE; OK ~ECK ~: 3096 <br />* THIS IS A VALID PE~IT * THIS PE~IT ~PI~ 180 ~ F~ iTS I~E ~TE+ IF <br />~T~CTI~ C~ ~R A ~RI~ OF 1~0 ~, ~ IF ~T~CTI~ FAI~ TO ~l' ALL <br />~IR~ OF ~TAT~ ~ ~ ~RI~ ~NTY ~UIL~i~ ~D Z~ING ORDI~C~, ~NI$ P~IT <br />~ALL B~E NULL ~D ~l~. <br /> <br /> R~S: 400 ~p ~512-$11~.68 ~2550 ~~ <br /> *NALD E- ~DLEY, ~RiON O~NI'Y BU,LDIN~ OFFiCiAL / By <br /> <br /> OFFICE COPY <br />FORM # MC 15-5~ REV. 4/90 <br /> <br /> <br />