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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 <br /> <br />DATE: 10/05/89 TIME: 9..39= 20e <br /> <br /> HERNANDEZ,DARIO & ROSA h~ARIA <br /> <br />SITUS ADDRESS: <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />CA1 EGORY: <br /> <br />OCCUPANCY: <br /> <br />REST DENTZAb, <br /> <br /> 20813 BUTTEVILLE RD NE 5 <br />AUF~)RA/DONALD OR 9?002 <br /> <br />DONALD <br /> <br />UGB: OCOUPAN] LOAD: <br />NO <br /> <br />250 S. LOCUST <br />CANBY, OR 97013 <br />PHONE: 266-6342 <br /> <br />5 17 <br /> <br />SUBDIVISION: <br /> <br />RA~1IREZ MOBILE HOME PARK <br /> <br />45 <br /> <br />SITE NUMSERt 8386 <br />VALUATION: <br /> <br /> 1N <br /> NO NO <br /> <br />MAP: <br /> <br />TYPE= ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />19426 <br /> <br />CONTRACTOR, NO. <br />LIC~SE NO: <br />HEENANDEZ,DARIO & ROSA NARIA <br />250 S. LOCUST <br />CANBY, OR 97013 <br />PHONE: 266-6342 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MO~ILE HONE CONNECTION <br />FLEET SURCHARGE -ZONE 6 <br />ELECTRICAL STATE SURCHARGE <br /> <br /> QUANTITY A~SJNT <br /> 1 $25.00 <br /> $7.68 <br /> $1.25 <br /> <br />TOTAL.~EE~EDFEE'~ $33_93 <br />i~HREVIOJ8 RECEIPTS $0.00 <br />IS RECEIPT $33.93 <br /> <br />BAL~NCEBUE $0.00 <br /> <br /> 20602 <br /> 6135 <br /> <br />PAYEE: DARIO HERNANDEZ RECEIPT NO: <br />RECEIVED BY: P~ TYPE: CK CHECK <br /> <br />:~ lltI$ IS A VALID PERI'IT <br />CONSTRUCTION C~ ~R <br /> <br /> NULL ~D <br /> <br />RENARK~,. CONN P,,tt6125 <br /> <br /> ISSUE DATE. IF <br /> FAIbS TO MEET ALL <br />lING ORDINANCES, THIS PER~IT <br /> <br /> <br />