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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH S?REET ~IE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-514?' 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am a registered builder OR } the authori:~ed representative <br /> of a registered builder. <br /> The work will be pedormed by a registered builder. <br /> Other <br /> <br /> this document, <br /> OATE: 09/;~0/92 TINE: .1.4:2&:~4 <br /> <br /> I <br /> AL <br /> <br />SITUS ADDAES~ ............................ CONSTRUCTION TYPE: , OCEUPANCY; <br /> <br /> 11697 FALCON COURT NE <br /> AURORA OR 9?;5002 c~,q-~t~.tc~Kc~T(~)UNT¥ u~t~tO iOCCUp^NT LOAD'. <br /> <br />,USE OF BUILDING: <br /> <br />MAILING ADDRESS; ' SUBDIVISION; <br /> CENTURY MEAOOWS ~4 <br /> <br /> BITE NUMBER: 92-01917 <br /> PHONE: VALUATION: <br /> <br />TYPE: ELECTRZCAL PERHZT OR APPLICATION NO:' 42912 <br /> <br />CONTRACTOR, NO. ~5152 <br />LICENSE NO: <br /> PARKIN ELECTRIC INC <br />20250 S MOLALLA AVE <br />OREGON CITY. 97045 <br />PHONE: 778-0~74 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFAOTUREO HOME SERVIOE/FEEOER <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QUANTITY AMOUNT <br /> 1 $40.00 <br /> $2.00 <br /> <br /> TOTAL ASSESSED FEES $42.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $42.00 <br /> <br />BALANCE DUE $0.00 <br /> 44987 <br /> <br />PAYEE: JOE GREEN RECEIPT NO: <br />RECEIVED BY: DM2 ............ TYPE= CK CHECK ~: 0 <br /> <br />· THIS IS A VALID PERMIT · THIS PERMIT EXPIRES [80 DAYB FROM ITS ISSUE DATE. IF <br />CONSTRUCT[OH CEASES FOR A PERIOD OF [80 BAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REGUIEEHENTB OF STATE LA~3 AND NAR[ON COUNTY BUILDING AMD ZONING OROINANCEB, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: MF6 SERVICE <br /> <br />DONALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />F~RM # MG 1 ~-~6 REV. <br /> <br /> <br />