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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 /> <br />SIGNATURE OF APPLICANT <br /> <br /> DALE: 02/0'//91 liME: <br />OWNER <br /> <br /> Gi~.NGER, DONALD A. <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br /> t1683 fHRUSH COORT Na <br />AURORA OR 9';002 <br /> <br />USE OF BUILDING <br /> <br />CONTRACT CITY U~B <br />IVtARION COLIN IY NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BbU~OO~S <br /> <br /> CENTURY <br />10915 5w HALL BLVD <br />IIGAR[.), ORE 9?223 <br />PHONE; 684-6142 <br /> VALUAfIONt <br /> <br /> 21 <br /> <br /> 65 85 55~5. ~F NO NO <br /> <br />MAP <br /> <br />fYPE: ~-LE(..~ f' R I ¢].AL <br /> <br />(;ONIRAC/OR, NO. 35155 <br />LICENSE NO: <br />P~RKIN ELECfRIC iNC <br /> <br />~HERWQOD 9'/!40 <br />PHONE: 246-1301 <br /> <br />PEP. MiT OR APPLiCAflON NO: 30254 <br /> <br /> bUPERVI~iNG ELECIRICiAN/NUM~kR <br /> 89~-5 <br /> <br /> iIEM <br />MANUF'ACfURED HOME SERVICE/~EgDER <br /> <br />OUANtlIY AMOUNI <br /> 2 <br /> <br /> ICI'AL ~E~EO PEaS $?3.50 <br /> PREVIOUS RECEIPTS $0_ 0o <br /> tHIS RECEIPf $13-b0 <br /> <br /> BALANCE DUE $0.0U <br /> PAYEE: BRAfI~ ENFERPRISi~ OR~N INC. RECEiP~ NO: 3191f <br /> ~ ;CEiVED BY: ~ IYPB: CK CHECK ~: ~02225 <br />* THIS ~ A VALID P6~1T * THIS PE~iT ~PiR~ 180 DAY8 F~ ITS I~E DATE. iff <br />~ST~OT~ C~ FOR A PERIOD OF 180 BAYS, OR ~F ~ST~CTI~ FAi~ TO MEET ALL <br />RE~iR~TS OF ~TATE ~ ~D ~Ri~ ~NTY BUILB~N6 ~B Z~iNG ORBiN~CE~, THIS PEril <br />~ALL B~E NULL ~D VOID~ <br /> <br />R~MARK~: 5gRV & CONN R'~5851 <br /> <br />OONAt. D ~. NOODL~Y, MAR[ON COUNfY SUiLBING OPPICIAL / MY <br /> <br />FORM # MC 15.t~6 REV 4/90 OFFICE COPY <br /> <br /> <br />