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MARION COUNTY BUILDING INSPECTION <br />SFNATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 B:O0 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWN~[ E: 0b/21/91 <br /> GREE, N, <br /> <br />FIME~ 11t35:25 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />93-1048217 <br /> <br />CATEGOR~ <br /> <br />OCCUPANCY <br /> <br />RKSI DEN 1 IAL. <br /> <br /> 11872 <br />AURORA <br /> <br />f H RU,~'4 COURf NE <br /> <br />OR 9?002 <br /> <br />CON1 HACT CITY UG8 <br />IVIAR I 0N COUN1Y NO <br /> <br />PHONEt <br /> <br />51 f'~ NUfC~ER: 12432 <br />VALUA f ~ON: <br /> <br />1 'F' '~ 9 <br /> NO NO <br /> <br />I'YPE: ELECf RiCAL <br /> <br />CONIRACIOR, <br />LICENSE NO: <br />BE~ gLECTRiC <br />7890 L~AUR~L 5f <br />I~XJODBURN 97071 <br />PHONE: 991~8096 <br /> <br /> PERMIf OR APPLICAfION NO: 32355 <br /> <br />87991 SUPERViSiNG ~L~CIRiCiAN/NUfC~ER <br /> <br /> iIEM <br />MANUFACtUReD H(.~E SERVICE/PBEDgR <br />gLgC~RiCAL SiA~E ~5RCHARGE <br /> <br />PAYEE- fONN& GOUNfRY E~CAVAFION <br /> <br />FOFAL A~E~EB FEE~ <br />PR~¥I0~.JS RECEiPtS <br />'f'Hi8 R~CEIPF <br /> <br />QU~ [! IY 4J~4OUN I <br /> 2 $'/0, O0 <br /> <br />$'/,¢. 50 <br /> $o.oo <br />$?3_ 8o <br /> <br />BALANCE DUE $0_00 <br /> <br />REC~IPf NO; 34144 <br /> <br /> RECE,[VE0 BY: PR .......................................................... IYPE: CK CHECK ~: ~.~'fc,~ 0 <br />* FHIS iS A VALID P~R~IIT * THIS PER,lIT ~XPIR~ 180 ~ F~ ITS I~E ~TE. iF <br />~ST~CTi~ C~ FOR A PgRiOD OF 180 ~YS, OR IF ~ST~CTI~ FAI~ TO ~T ALL <br />~iR~TS OF STATE ~ ~D ~RI~ ~NTY 8UiLDING ~D Z~ING ORDIN~C~. THiS PE~iT <br />~ALL B~E ~LL ~D VOID. <br /> <br />REMARKS: MH 5ERV &CONN K~¢,~8807 <br /> <br />DONALD b. ~OODLEY, MARION O'OUNIY BUILDING OFFICIAL / BY <br /> <br /> <br />