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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-B147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: B88-7904 <br /> <br /> { am performing work on a property I own or occupy, <br /> I am a registered builder OR the authorized representative <br /> of a registered builder. <br /> The work will be perfermed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> DATE: 08/06/92 TIME: 8:15:10 <br />i°wNSR:WINOINGE$ BROTHERS <br /> <br />SITUS ADDRESS: <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> TAX <br /> LO"C: <br /> <br />';CON~"CRU~'ClON TYPE: <br /> <br /> 17875 8UTTEVILLE ROAD <br /> AURORA OR <br /> <br />USE OF BU{LOING; <br /> <br />MAILIN~ ADDRESS~ <br /> <br /> PHONE: 981-5422 <br />LOT: BLOCK: <br /> <br />97002 <br /> <br /> SITE NUMBER: 92-02854 <br /> VALUAT1'ON: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 417i9 <br /> <br />CONTRACTOR~ NO. 06281 <br />LICENSE NO: <br />William K Engelman <br />PO Box 451 <br />Hubbard, 97052-0000 <br />PHONE: 981~8041 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 2 $80.00 <br /> $4.00 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br />' THIS RECEIPT <br /> <br />$84.00 <br /> $0.00 <br />$84..00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: ENGELMAN ELECTRIC RECEIPT NO: 45792 <br />RECEIVED BY: DM2 .................................. TYPE: CK CHECK ~: 2590 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM iTS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEE~ ALL <br />REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILDING AMD ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AMD VOID. <br /> <br />REMARKS: REPLACIN6 E MH SERVICES/EXISTING MH ~ <br />OONALO E. WOOOLEY, HARION COUNTY BUILDING OFFICIAL / BY ..................... ~ <br /> <br /> <br />