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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, c'25 <br />220 HIGH STREET NE <br /> SALEM1.OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 F~M.. 8:00 A.M. <br /> <br />I am performing work on a property I own or occupy. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />OWN~ATE~ 04/26/90 TIME: 12:07:58 <br /> PERRY, VERNON <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYRE: <br /> <br />40862-000 <br /> <br />CKI£GORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 12103 FRY ROAD <br /> AURORA <br />U~E OF BUILDING: <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONTRACT CITY: U~E: <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOM,~: <br /> <br />SUBDIVISION: <br /> <br /> PHONE: 678-2841 <br />LOT: BLOCKI <br /> <br />WIDTH: DEPTH: <br /> <br />$6CTION; TOWNSHIP: <br /> <br /> 2 1 UNITS: <br /> <br /> 1. <br /> <br /> SITE NUMBER: <br /> RANG~':''/ALUAT I ON :ZONE: <br /> <br />4S IRREG, LOT: 1W CORNER: <br />AC NO <br /> <br /> 8603 <br /> <br /> EFU <br /> <br />NO <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />23544 <br /> <br />CONTRACTOR. NO. 35151 <br />LICENSE NO: <br />PARKIN ELECTRIC INC <br />RT 5 BOX ?9-K <br />SHERWOOD 97140 <br />PHONE: 246.~,1301 <br /> <br />,,SUPERVISING ELECTRICIAN/NUMBER <br />896-S <br /> <br /> ITFjVl <br />MOBILE HOME SPACE (SVC EQUIP) <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $25.00 <br /> $1.25 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$26.25 <br /> $o_ o <br />$26.25 <br /> <br />9ALANCE DUE $0.00 <br /> <br /> PAYEE: VERNON PERRY RECEIPT NO: 24945 <br /> RECEIVED BY: PB TYPE: CA CHECK ~: 0 <br />* THIS IS A VALID PEI;~IT * THIS PER,lIT EXPIRES 1BO DAY~ FROM iTS IS.SUE BC, TE. IF <br />CONSTRUCTION CEASES FOE A PERIOD OF 180 DAY~, OR IF CONSTRUCTION FAILS TO NEET ALL <br />~%~J~-QULL[RB~IENTS OF STATE voLAII[~DDANDiI,1ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEi;~IT <br /> L BECOME NULL AND . <br /> <br />REff~,RKS: SERV R~0757 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM~MC15-d6 R~M~J88 OFFICE COPY <br /> <br /> <br />