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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH ~TREET NE <br /> SALEM,'ORE'GON 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 />ow~A'rE: 05/02/91 T II~E ~* 1 ~. ~ 29: 43 <br /> <br />SITgS AOCRES~ARKER' NAO~ll (L.CROCKER ¢¢4 <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br /> R~! DEN T I AL <br />OCCUPANCY'. <br /> <br />10868 /~klN 8¥ NE <br />DONALD OR 97020 <br />USE OFSU~LmNG: DONALD ~ NO <br /> <br />MAILING ADDRESS: <br /> <br /> P.O. BOX 451 <br /> DONALO, OR 97020 <br /> fr~rtONE~ 678-5948 <br /> <br />LOT: BLGCK~ <br /> <br />i OCCUPANT LOA0: <br /> <br />SECTION; <br /> <br />12747 <br /> <br />SITE NUI~BER: <br /> <br />WIDTN; <br /> <br />110, 85 ~ g350. ~ ~ NO: NO <br /> <br />' NO OF 8EOR00MS <br /> <br />MAR: <br /> <br />'tYPE: ELECTRICAL PEr.lIT OR APPLICATION NO: 31936 <br /> <br />CONTRACTOR, NO. SUPERVI~ING ELECTR[CiAN/NUIV~ER <br />LICENSE NO: <br />PARKER, NAO~11 (L.CROCKER r4H CXNN <br />P.O. Box <br />DONALD, OR 97020 <br />PHONE: 678-5948 <br /> <br />MAN~FAC'[URE~ HOME.SERVICE/FEEDER <br />ELECI'RICAL STATE SURCHARGE <br /> <br /> PREVIOUS <br /> THIS REf2E:iP'F <br /> <br /> DUE <br /> <br />PAYEE: PARKER, NAOmi (L.CROCKERrflH OIA~ER) <br /> <br />OUAN1'iTY ~NI' <br /> 2 $70.00 <br /> $~.5o <br /> <br />$73.50 <br /> $o.0o <br />$73~50 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 33719 <br /> <br /> RECEIVED BYt D)12 .... , .................. ,~. ........................ TYPE= IN CHECK ~= 0 <br /> <br />* THI~ IS A VALID PFJ~ilT ~ THIS PEI~RIT E~PIRE~ 180 DAYS ~ ITS ~E ~TE. IF <br />~T~Ti~ ~ ~A ~Z~ 180 ~, ~ IF~T~Ti~ FAI~ TO M~T ALL <br />~1~ ~STATE Z~IN8 ORDINal. THIS ~IT <br /> L 8~ ~LL ~D~ID. · <br /> <br />REI~IARKS: SERVICE/CONN MR.CROOKER 09,,~ER' OF NH DoING His OHN <br />DONALD E, NOODLEY, I~.RION :COUNTYGUILD[NG OFF[C[AL/ 8Y .... ............................. ~ ........................................... <br /> <br />~OR~ * MC l~-s~ ~v. 4/eD OFFICE COPY <br /> <br /> <br />