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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 /> Other <br /> <br />OAIE: 10/29/91 ¥IME~ <br /> <br /> LANKPORD, BOB R <br /> <br /> 11688 WAR-~LER LANE NE <br />AURORA OR 97002 <br /> <br />USE OF BUILDING <br /> <br /> AL %CNMIDHAr4ER - AGEN[ 654-4179 <br /> PO 80X 6659? OAK GROVE, ORE 9?268 <br /> PHONE: 878-1161 <br /> <br />LOT BLOCK BECTION TOWNSHIP <br /> 10 19 33 <br />WIDTH 't'O OEPTH 10i 'AREA UNITS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONBTRUCT~ON TYPE <br /> <br /> CONTRACT CITY <br /> MARtON COUNI Y <br /> <br />NO <br /> <br />CATEGORY RESi DEN 1 <br />OCCUPANCY <br /> <br />SUBDWISIQN <br /> <br /> SIrE NUttiER: <br /> VALUAfZON: <br /> <br /> BANGE <br /> 3S 1N <br /> <br /> ~F IRREG LOT <br /> <br />CBNfURY MEABOW~ PHASE 4 <br /> <br /> '/0~9 <br /> <br />ZONE <br /> AR <br />YES CO~NE%o <br /> <br />fYPE; ELECTRICAL PERC41f' OR APPLiCA'flON NO: <br /> <br />34143 <br /> <br />CON f RAC~OR, NO. <br />LICPNSE NO: <br />LANKPORD, BOB R. <br />AL 5CHM 10HAMER AGEN~ 554-417 <br />[z,3 BOX f~859"Z OAK GICOVE, ORE 972 <br />PHONE: ~78~1161 <br /> <br />~JPERViSZNG ELEC~ RiCZAN/NUMBER <br /> <br /> IfEM <br />MANUPACfUREO HOME <br />EI_EC~R~CAL SfAiE ~::~JRCHARGE <br /> <br />QUANTIFY AMOUN[ <br /> 2 $'?0.00 <br /> $3,5o <br /> <br />fO'rAL ~E~SED FEES <br />PREVIOUS RECEiP'f5 <br />THIS RECEIPF <br /> <br />¢'[.¢ .. 50 <br /> $o.oo <br /> <br />BALANCE DUE $0_00 <br /> <br /> PAYEE: RECEZP[ NO: <br /> RECEIVED BY: DM2 IYPE: CHECK ~; 0 <br /> <br /> *THIS iS A VALID PEt~lZT * THi~ PERMIT ~XPiRE~ 180 DAY~ PRO~ iTS <br />~ST~CTI~ C~ ~R A PERIOD OF 180 ~, OR IF ~T~CTI~ FAI~ TO ~E~ ALL <br />~IR~T~ OF STATE ~ ~D ~RI~ ~NTY BUiLDiNG ~O Z~ING ORDiN~C~, THi~ PE~IT <br />~ALL ~E~E NULL ~O <br /> <br />REMARKS: SERVICE ~ CONN F~3782 <br /> <br />OONALD E. WOODLEY, MARION C~dNfY BUILDING OPPICiAL / 8Y <br /> <br />OFFICE COPY <br /> <br /> <br />