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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE,, <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br /> <br />Other. <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> this dooumenh <br /> DATE; 09/30/92 TIME: 10:56:56 <br />:OWNER GREEN, JOE <br /> <br />: 11682 THRUSH COURT -- <br /> AURORA OR 97002 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />20 WALKING WOO0 DR <br />LAKE OSWEGO, OR <br />PHONE: 97002 <br /> <br />CENTURY MEADOWS NO 4 <br /> <br /> SITE NUMBER: 92-01585 <br /> VALUATION: <br /> <br />LOT: BLOCK; : SEc~i~)~: : ~)w~HiP; RANGE: <br /> 18 19 : 33 $S <br />WIOTH; 65 OEPTH: 9SARE^: 6175. ONITS:sF mAn. LOT: <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 42905 <br /> <br />CONTRACTOR, NO. 55151 <br />LICENSE NO: <br /> PARKIN ELECTRIC INC <br />20250 S MOLALLA AVE <br />OREGON CITY, 97045 <br />PHONE; 778-0574 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />MANUFACTURED HOME SERVICE/FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AHOUNT <br /> I $40.00 <br /> $2~00 <br /> <br />PAYEE:~ <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$42.00 <br /> $0.00 <br />$42.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 44978 <br /> <br />RECEIVED BY: DM2 TYPE: CK CHECK <br /> <br />· THIS iS A VALIO PERMIT · THIS PERMIT EXPIRES [80 DAYS FROM ITS ISSUE OATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: MH SERVICE (~ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ................... ~_ <br /> <br /> OFFICE COPY <br />FORM # MC 15-~6 REV, ~/eo <br /> <br /> <br />