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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HIGH ~TREET NE <br /> SALEM, OREGON 973t11 <br /> <br /> PHONE: 588-5147 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> DA]E: 03/03/92 lIME; 14:01:21 <br /> <br />OWNER fl~CJ RIVER'S FARIVl <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />'fAX LOI' <br /> <br />SITUS ADDRESS <br /> <br /> 14993 O r rANAY <br /> AURORA <br /> <br />3662 OAK RIDGE LANE <br />AURORA 9?002 <br />PHONE: 981-7843 <br /> <br />NE <br /> <br />CONSfRUCTION TYPE <br /> <br />OR 97002 CONTRACT CITY UGB <br /> AURORA NO <br /> <br />CATEGOHY <br /> <br />OCCUPANCY <br /> <br />OCCUPAN[ LOAD <br /> <br />StfB NUIV~ER: 92-0B961 <br /> VALUAfiON: <br /> <br />COME ROI AL <br /> <br />fYPE; ELECfRICAL <br /> <br />CON1RACIOR, NO. <br />LiCFJ',ISE NO; <br />TWO RIVERS PARIVl <br />3662 OAK RIDGE LANE <br />AURORA 97002 <br />PHONE: 981-7843 <br /> <br />PERNif' OR APPLICAtiON NO: 38565 <br /> <br /> SUPERVISING 6L~C]RiCiAN/NUMBER <br /> <br /> QUAN f i ] Y AMOUN <br /> t~RANCB CiRCUlr, Wi IHOUr SERVICE OR FEDDER - qsr or.Uti 1 $35.00 <br /> BRANCH CIRCUIt, WI'f HOUr 5ERVJCB OR FEEDER- ~CH ADDiI'i~AL 1 $2+00 <br /> ELEC[RiCAL SfAIE ~HA~E $1 <br /> <br /> TOIAL ~S~D ¢'~5 $38+85 <br /> TH~S RBC~IPf $38.85 <br /> 8A~CE DUE $0.00 <br /> <br /> PAYEE: [~ RiVE~ FA~ RBCEiPI NO: 40563 <br /> RECEIVED BY: ~2 [YPE: iN CHECK ~: <br /> <br />* THIS i8 A VALID PE~IT * THIS PE~IT ~PIR~ 180 ~YS F~ IT~ I~E DATE. <br />~ST~CTI~ C~ FOR A PERIOD OF 180 ~YS. OR iF ~ST~CTI~ FAi~ TO MEET ALL <br />REdiReCT3 OF ~TATE ~ ~D ~Ri~ ~NTY BUILDiN~ ~D Z~ING ORDIN~C~, THi~ PE~iT <br />~ALL BE~ NULL ~D <br /> <br />RPJKANKS: 2 CiRCUi[5 WIFROUf SERVICE <br /> <br />LYONALO E. WOODLBY, r~ARiON COUNfY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />