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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 /> 1 am performing work on a property I own or occupy <br /> <br /> of a registered budder. <br /> <br /> LANKFORD, 8r,)B R. <br />SITUS ADDRESS <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br /> 11688 NA~LgR LANE NE <br />AURORA OR 97002 <br /> <br />USb OF BUILDING <br /> <br />CONTRADT CITY <br /> <br />MARION COLIN'f'Y <br /> <br />SUBDIVISION <br /> <br />, UGB <br /> <br />NO <br /> <br /> R~i DEN ~ i AL <br />OCCUPANCY <br /> <br /> CENIURY MEADOW~ PHASE <br /> AL ~CHMiDHANER - AGENF 654-4179 <br /> NfO BOX 08597 OAK GROVE, ORE 97268 <br /> PHON~: 6'!8-7161 SiIE NUMBER: t069 <br /> VALUAIlON: <br />LOT SLOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> 10 19 3~ 3~ 1W AR <br /> 70 107 S~ YES NO <br /> <br />fYPE; ELECtRiCAL <br /> <br />CON]RACfOR, NO. <br />LICENSE NO: <br />LANKPORD, BOB R. <br />AL bf~HMiDHAC4~R - AGENF 654-417 <br />P"O BOX 68597 OAK GROVE, ORE 972 <br />PHONE: 678-1161 <br /> <br />PERMIf OR APPLICAtiON NO: 9034143 <br /> <br /> 5~JPERVISiNG ELECIRICiAN/NUIV~BR <br /> <br />MANUFACfUREO HONE <br />ELECtRiCAL 5TAIE ~RCHARGB <br /> <br />QUANfl]Y AMOUNT <br /> 2 $70.0O <br /> $~.50 <br /> <br />f'Of'AL ~E,f,:~EO F'E~ <br />PREVIOUS RECEJPf5 <br />~H[S RECEIP'f' <br /> <br />$73.5O <br /> So,oD <br /> <br /> (',"8~ALANCE OUE $0. oo <br /> PA,Y, EE: ALFI~AN, fNC. '~\ RECEiPf NO: 38125 <br /> R~C~tVgD BY: ~2 .~ fYPE: CK CHECK ~; 9222 <br />~ THIS iS NOT A P~IT. THI~ APPLi~Ti~ ~ST ~ fH~ A R~I~ P~ ~ERE THE <br />~LL~[NG ~ST BE ~L~EO+ ~T [~ THE R~JBILITY OF THE APPLI~T TO ~RE THAT <br />ALL N~ iN~TI~ H~ BE~ P~IDED+ <br /> <br />PLAN REVIEW: BY <br /> <br />RFJ~ARK.~: SERV];C~ & CONN <br /> <br />DAlE <br /> <br />CI1Y JUR~DIC'f'ION: BY DAlE <br /> <br /> OFFICE COPY <br />~:ORM # MD 15-58 REV 4/90 <br /> <br /> <br />