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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 />Am performing work On 8 property I own or OGOup¥ -~y~ <br />efa registered budder <br /> <br />Other. <br /> <br /> DARE: 03/14,/91 <br />OA'N ER TAX LOT CATEGOR'f <br /> <br /> GRE~, JOE <br />SIfUg ADDRESS CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 11695 LARK 6OUR¥ NE CONTRACT C"fY UGB <br />AURORA OR 97002 <br /> r4ARION COUN ) Y NO <br /> <br />USE OF BUILDING <br /> <br />MAILING AODRESS SUBDIVISION <br /> <br />CEN1URY IVlEADOIAr:3 ~4 <br /> <br />PHONE: 5! f'E NU~ER: 12433 <br /> VALUAI iFJN: <br /> <br /> 26 19 <br /> NO NO <br /> <br />TYPE: ELEC'r RI CAL <br /> <br />DON T P, AC1 OR, NO. <br />L1CP~SE NO: <br />BEE ELECI RiC <br />1890 LAUREL :~'r <br />~2ODSURN 97071 <br />PHONE: 981-8096 <br /> <br /> 1'rEM <br />IVfANUFAC'FUBED HOfClE SERViCE/FEEDER <br />ELECfRiCAL SIA]E ,F:CJRCHARGE <br /> <br />PAYEg: Yr,,;~/N & (24.~JNFRY EXC, <br /> <br />'FO'fAL ~ED FEE~ <br />THiS RECEIP'r <br /> <br />QUAN'iI'rY AMOUNf <br /> 2 $70_00 <br /> $2_50 <br /> <br />$73.50 <br /> $0.00 <br />$'?3.50 <br /> <br />BALANCE B~JE $0,00 <br /> <br />BECEIPf NO: S2681 <br /> <br /> RECEtVED BY: 01~12 ............................................................................ 1YPE; CK CHECK ~ 229 <br /> <br /> ~ THIS IS A VALID PF_R~IT * THIS PEr, lIT I~XPIR~ 180 DAYS FRON 1TS 1SSUE DATE. <br />~T~CT/~ C~ ~R A PERIOD OF 180 ~, OR iF ~T~CTI~ EA[~ TO ~ET ALL <br />~1~ O~ STATE ~ ~D ~Ri~ ~NTY BUILD~NG ~O Z~XNG ORDZN~C~, THiS PE~IT <br /> L B~E NULL <br /> <br />REt, lARKS: SERV/CONN F~7250 <br /> <br />DONALD E. WOOOLEY, RARiON COUN1Y BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15,56 REV 4/90 OFFICE COPY <br /> <br /> <br />