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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SAL ~M, OREGON 97301 <br /> ~HONE 555-5147 <br /> COD_E-A-~NE 4::30 PM - 8:00 AM <br /> <br />06/0t/89 TIME: <br />WALLACE, MINNET <br /> <br />10:98:31a <br /> <br />TAX LO7' <br /> <br />CONSTRUCTION TYPE <br /> <br /> 9393 PORTER RD <br />AUMSVILLE <br /> <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br />SE <br /> <br />CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br /> SAME <br /> <br /> PHONE: 749-2843 <br /> <br />LOT BLOCK <br /> <br /> SITE NUMBER: 7471 <br /> VALUATION: <br />SECTION TOWNSHIP RANGE ~ONE <br /> <br />AREA 1 CNITS 95 IRREG ~T 2W OO~NbH EFU <br /> <br /> 5.00000 AC NO NO <br /> <br />WIDTH DEPTH <br /> <br />RESIDENTIAL <br /> <br />NO OF BEDROOMS <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NOt <br />WALLACE, MINNET <br />SAME <br /> <br />PHONE: 749-2643 <br /> <br />PERMIT OR APPLICATION NO: 9016407 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MOBILE HOME SPACE (SVC EQUIP) <br />~)8ILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 5 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: WALLACE¢ MINNET <br />RECEIVED BY: cl <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> RECEIPT NO: <br />TYPE~ CK CHECK <br /> <br /> AMOUNT <br /> $25.00 <br /> $25.00 <br /> $6.40 <br /> $2.50 <br /> <br /> $58_90 <br /> $0.00 <br /> $58.90 <br /> <br /> $0.00 <br /> <br />17447 0 <br /> <br />~ THIS IS NOT A PERMIT. THIS~:APPLICAIION: I~JST ,GO :THROJGH A 'REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED.~:::,~,IT:,IS,'THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFOI%~ATION H~E~?BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY DATE .... ... .... CITY JURISDICTION: BY DATE <br /> <br />REjVtARKS: NH SEVICE,CON R~:,7092, BY,SON <br /> <br />OFFICE COPY <br /> <br /> <br />