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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; 888-$147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> Other <br /> <br />DAIE~ 08/'30/91 [ Ir~E: 8:55:55 <br /> 6RE~N, <br /> <br />CATEGOHY <br /> <br />OCCUPANCY <br /> <br />RESIDENTial <br /> <br /> 11565 LARK Cf NE <br />AURORA OR 97002 <br /> <br />IVlARI ON COUNT Y NO <br /> <br />OCCUPANT LOAD <br /> <br />20 WALKZNG ~f30[7~ DR <br />LAKE 0~WbGO DR 97035 <br />PHONE: 536-7918 <br /> <br />LOI ~LOCK SECTION TOWNSHIP <br /> 42 1 '1 33 <br /> <br />SUBDIVISION <br /> <br />CF_..NTLRY MgALYJ~5 PH At4 <br /> <br />NUMBER: 13895 <br />VALUA f l ON: <br /> <br /> NO : NO <br /> <br />tYPE: ~LgCfRiCAL PERMIT OR APPLiCATiON NO: <br /> <br />34639 <br /> <br />CONTRACTOR, NO. 35151 <br />LIC,gNSE NO: <br />PARKIN BLgCIRiC iNC <br />25248 SN O~f RD <br />L--,HER~OD 97140 <br />PHON~: <br /> <br />SUPERVISING ELECTRiC[AN/NU~BER <br />895-5 <br /> <br /> iTEM <br />¢4ANUPAC[URED HO~ <br />ELECTRICAL 51AI~ ~tJRCHARGE <br /> <br />QUAN l i T Y AM(JUN <br /> 1 <br /> $~ <br /> <br />TOTAL A5,~E~E0 FE~ <br />tHIS R~CEiPr <br /> <br />¢36.75 <br /> 36_'f5 <br /> $o.oo <br /> <br />BALANCE DUE $0,,00 <br /> <br />PAYEE; RECEIPT NO: <br />RbCEiVED BY: DfC2 TYPE; CHECK <br /> <br /> THIS iS A VALID PEI~IIT * THIS PERMIT EXPIRI~S 180 DAYS FROM ITS I~SUE DALE. iF <br />~ON~TRUCTION CEASES ~R A PERi~ OF 180 ~, ~ IF ~ST~CTi~ FAI~ TO ~EET ALL <br />~iR~T~ OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~iNG ORDIN~C~, THIS PE~IT <br /> L BEdE NULL <br /> <br />REMARKS: 5~RV R~2559 <br /> <br />DONALD h, MOODLEY, MARION COUNIY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-55 ~EV 4i90 OFFICE COPY <br /> <br /> <br />