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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 8:00 - 4:30 <br /> 24 HOUR CODE-A-RHONE: 588-T904 <br /> <br /> I am performing work on a property I ow~ or occupy. <br /> ~ am a registered builder OR ( ) the authorized representative <br /> of a registered builder· <br /> The work will be periormed by a regisfere¢ builder. <br /> Other = <br /> <br /> DATE= 07/02/92 TIME: 14:35:18 <br />OWNER: <br /> BARRELL, RICHARD <br /> <br />i YAX LOT; CATEGORY: <br /> ; RESIDENTIAL <br /> ~ occuPAncy: <br /> <br /> 11762 WARBLER LANE NE <br /> AURORA OR 97002 <br /> <br />USE OF ~gJCblN~; <br /> <br /> CENTURY MEADOWS <br /> <br /> ORESON CITY OREGON 97045 ~ SITE MUMBER: 92~0~455 <br /> PHONE: 3~3¢206~ : VALUATION: <br /> <br /> 28 33 '~S ~W ' AR l <br /> 49''OEPT~: 69~ ~Rs~: 3381. : SF ~ NO YES <br /> <br /> TYPE: ELECTRICAL PERHIT OR APPLICATION NO: ~04i020 <br /> <br /> CONTRACTOR, NO. SUPERVISING ELECTRICIAN/NUMBER <br /> LICENSE NO: <br /> <br />BARRELL, RICHARD <br />16~41 SO. STOLTZ <br />ORECON CITY ORE6ON 97045 <br />PHONE: 365-2063 <br /> <br /> ITEM <br />MANUFAOTUREO HOME SERVICE/FEEDER <br />ELECTRICAL ST~TE SUROMARGE <br /> <br /> QUANTITY AMOUNT <br /> 1 $40.00 <br /> $2.oo <br /> <br /> TOTAL ASSESSED FEES $42.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> : THIS RECEIPT $42.00 <br /> E : $o.oo <br /> PAYEE= TNT CONCRETE & cONsTRucTiON iN~.X/,./ RECEIPT NO~ <br /> <br /> z THiS IS NOT A PERMIT. A RE¥IE# PROCESS eHERE THE <br />FOLLO~JN~ HUST BE COMPEETEO~ ,ZT ,ZS;THE, REBP~NSZBJL[TY OF THE RPPLZCRNT TO ~SSURE THBT <br />RLL NECESSRRY INFORMATIONHAS BEENPROVZOED <br /> <br /> PLAN REVIEW: BY .......... OATE_~~ ........ ~_ CITY JURISDICTION: BY ........ DATE <br /> REHARKS: MFS HOME SERVICE <br /> <br />FORM # MC 1~- 5~ REV. 4/eO OFFICE COPY <br /> <br /> <br />