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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 /> of a registered builder, <br /> <br />OA'FE: (29/26/98 'l~.lVlE: 12:31:18 <br /> CLARK, MARTIN <br /> <br />SITUS ADDRESS: <br /> <br /> 20521 BOON~ PERRY RD NE <br />AURORA <br /> <br /> TAX LOT'. <br /> <br />' CONSTRUCTION TYPE: <br /> <br />¢~A R i r.,.1'4 COUNTY NO <br /> <br />MAILING ~bbRE$$: <br /> <br /> ~.O. BOX 168 <br /> AURORA, ORB(iON 9?002 <br /> PHONE: 678-1139 <br /> <br />LOT: <br /> <br /> SiTE NUb'ID EF~ ~. <br /> VALUA't fUN; <br /> <br />· TOWN~HIP: ' RANGE; ' ZONE'· <br /> <br />338? <br /> <br />WIDTH; <br /> <br /> CATEGORY: RES~ [)EN I 1AL <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />NO OF BEDROOMS <br /> <br />MAP: <br /> <br />'fYPEt ELECI'R~.CAL PER1'4,[T OR APPLiCA'r,',(C,N NO: 902?534 <br /> <br />DON f RACI'OR, NO_ <br />LICENSE NO: <br />CLARK, MAR'FIN <br />P.O. BOX 188 <br />AURORA. OREGON 9'?002 <br /> <br />SUPERVJ;SiNG ELEC'FR;(C i AN/NUMBER <br /> <br />,SERVICE/PBEBER 101 'f'O 400 <br />ELECTRICAL S'f'A'fg SL'" IRCHAR(~E' ' ' ' "' <br /> <br />QUAN'f'ITY AMOUN'f <br /> <br /> TOTAL ASS~SEO FEES $63.00 <br /> PREVIOU~ RECEJ. P'rS $0_ 00 <br /> 'f:H IS RECEIPT $63. <br /> <br /> , ~ BALANCE DUE <br /> PAYEE: C~,RK, M~R'f'iN ~ ~ RECEIPI' NO; 29129 <br /> R~CEiVEB BY: Ol~2 ..... ~ . TYPE; OK CHECK ~; 11021 <br /> <br />~ THiS iS NOT A PE~IT. THIS A~PbICATt~ ~ST ~ TH~ A RgWiEW P~ ~ERE THE <br />FOLL~iNG ~S'f' BE ~PLETED; :,iT IS THE R~SiBZLJTY OF THE APPLI~N'F TO ~SURB THAT <br />ALL NECE~A~ INFO~'I'~ H~BE~ <br /> <br /> PLAN REV~EN: BY ............................. CATE .......................................... CITY JURiS~IC'T'1ON: BY OA]'E <br /> R~RKS: REL~A'f~ ~ERV - iNOLUD~ Ot~Uil'S FOR ~,RAGE R~3912 <br /> <br />OFFICE COPY <br /> <br /> <br />