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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am ~registered builder OR{ )theaulhOrized represeRtatlve <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other_ <br /> <br />I have read and ag ee to the term¢ 8tsted on the reverse side Of <br /> <br />OATE; <br /> <br />:,ow~{,~:'rE: 08/29/90 TINE= 10~35=38 <br /> <br /> S'f EFANr,.X~ 1C7, FRANK <br /> <br />TAX LOT; <br /> <br />CONSTRUCTION TYPE~ <br /> <br /> 11593 WARBLER LANE NE , CONTRACT GreY: <br /> AURORA OR 97002 <br /> .................... MAR 1,ON ~NI:Y <br />USE O¢ BUILDING: <br /> <br />CATEGORY: <br /> <br /> R~I DENI' iAL <br /> <br />CEN1'URY MEADON~ NB <br /> <br /> Ct'lONE: 6?'8-5609 SiTE NUF~3ER: 11003 <br /> VALUAT 1ON = <br />LOT: :BLOCK: ~ ~[~fiEE; ~ TO~N~IF ~ RANGE: ZONE: <br /> <br />WIDFH~ DEPTH~ : AREA: ' UNITS: IRREG. LOT: CORNER: <br /> <br />~AJBDIV. <br /> <br />MAP: <br /> <br />TYPE: ELEC'rRICAL <br /> <br />CQN'f'RAC'I'OR, NO. <br />L I C~ISE NO: <br />S'FEFANO~ICZ, FR/~K <br /> <br />PHONE: <br /> <br />PE~IT OR APPLICATiON NO: 26659 <br /> <br /> SUPERViSiNG ELECTRICiAN/NU~ER <br /> <br /> I TF-J'~ <br />rcCDBILE HC~E CONNEY..;TiON <br />FLEST rCURC'HARGE -ZONE <br />ELECTRICAL. ,!~TATE ,,,~URC, L3~ARG8 <br /> <br />::TOTAL <br />PRE~IGU8 :RECEIPTS <br /> <br />QUANTITY AivYJUNT <br /> 1 $25.00 <br /> <br />PAYEE: RECEiPT NO: <br /> <br />$33.93 <br /> <br /> $0.00 <br /> <br /> R~CE£VEO BY: PR TYPE: CHECK ~: 0 <br /> <br /> THIS I~ A VALID PieR, IT ~ THI~ PER~IT EXPIRE~ 180 DAY~ ~ IT~ I~E ~TE+ IF <br />~T~CTI~ C~ ~A~I~OF 180 ~. ~ iF~T~t[~ EAI~ TO,ET ALL <br />~IR~TS OF STATE ~ ~D ~RI~ ~NTY BUILDI~ ~DZ~I~ O~IN~. THIS ~IT <br />~ALL 8~ NULL ~D~ID. <br /> <br />DONALD E. ~OODLEY, ~RioN COUNTY BUILDING OFFICIAL / BY ................................................................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />