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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22:5 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: ~88-7904 <br /> <br /> ) The work will be performed by a registered builder, <br /> Other <br /> <br /> DATE: 07/07/9?. TINE: 12."22:37 <br />OWNER: <br /> DARRELL, RICHARD <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE <br /> <br />)~ CATEGORY' <br />, RESIDENTIAL <br />OCCUPANCY <br /> <br /> 11762 WARBLER LANE <br /> AURORA <br /> <br />USE OF BUILD~NG <br /> <br />MAILING ADDRESS <br /> <br />2634i SO. STOLTZ <br />OREGON CITY OREGON <br />.PHONE: 563-2063 <br /> <br />28 <br /> <br />3LOCK <br /> <br /> DEPTH <br />4'<:) ' 69 <br /> <br /> NE <br />OR 97002 <br /> <br /> 97045 <br /> <br />33 ..... <br /> <br /> 5581 <br /> <br />CON~RA~T CITY: JGE OCCUPANT LOAD: <br />NARIOh COUNTY ~0 <br /> <br /> NO OF BE0~00M$ <br /> <br />SUBDIVISION: ....... <br /> CE~.TURY MgADOWS <br /> <br /> SITE NUMBER: 92-0245~ <br /> VALUATION: <br /> <br />I~ANGE. ZONE'. ~ MAP' ' <br /> <br />1W , AR l <br />IRR~G _OT CORNER'· <br />flO , YES <br /> <br />TYPE: ELECTRICAL PERHIT OR APPLICATION NO: <br /> <br />41020 <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />BARRELL. RICHARD <br />16341 SO. STOLTZ <br />OREGON CITY OREGON <br />PHONE; ~63-2063 <br /> <br />97045 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HONE SERVICE/FEEOER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $40.00 <br /> $2.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />:THIS RECEIPT <br /> <br />$42.00 <br />$42.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PB .................................. TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERHIT · THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO NEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THiS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REHARKS: NFG HOME SERVICE <br /> <br />DONALD E. WOOOLEY, HARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-$6 REV. 4/90 <br /> <br /> <br />