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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 <br />CODE-A-PHONE 4:3L0 P.M. - 8:00 A,M. <br /> <br />I am performing work on a property I own o¢ occupy. <br />lam a regiBteredbullderOR( ) the authorized repreBenfatlve <br />of a registered builder. <br />The work will be performed by 8 regiBfered builder, <br />Other <br />I have read and agree to the ferms s~ated on the reverse side of <br /> <br /> DATEr '10/14/87 <br />OWNER: <br /> <br /> HUSSEY, ALAN <br />SITUS AODSESS: <br /> <br /> 280 SCOTT AVE <br /> 0 E"!T<O ~ '? <br /> <br />USE OF BUILDING: <br /> <br />:53:31p <br /> <br />OCCUPANCY: <br /> <br />CONTRACT CITY; <br /> <br /> OR 9?342 <br />, , DEZBOIT <br /> <br />: )My E& 7 -;4 <br /> <br />: SUBDIVISION; <br /> <br /> PATTON <br /> <br /> F~ONE: 854-3342 SITE NUMBER: 2591 <br /> ~ VALUATION; <br />LOT: BLOCK: SECTION: iTOWNSHiP: ~ : R~: :ZONE: MAP: <br /> <br />WIDTH: DEPTH: ; AREA: : UNITS; , IRREG, LOT: i CORNER; <br /> ~00 !35 13500.0 SF : NO i YES <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR. NO. <br />..... -~,~=Y, ALAN <br /> <br />PE~IT OR APPLICATION NO: 5021 <br /> <br />PFK}NE; 854--..~34,~ <br /> <br /> i 'FEN <br />DOMESTIC MOOD STOVE <br />vlECHANICAL BASE FEE <br />F:LF!ET SLIRCHARGE '"ZONE ? <br />MECNAN,['CAL, STATE SURCHARGE <br /> <br />PAYEE: HU,,~,,~,Y, ALAN <br /> <br />QU, ,N ~ l TY <br /> <br />AMOUN-'- <br /> <br /> $1 O, O 0 <br /> <br /> $1]. 8S <br /> <br />TOTAL ASSESS b FEES ,t,' ,? <br />PREVIOUS RECEIPTS .,~0, u~,, <br />TH;S RECETpT $27,34 <br /> <br />~ALANbE DUE :';: $3.30 <br /> INVOICE NO: 55':U: <br /> <br />RECE,;VEO BY: ××x ..................................... ~, <br />* ~IS ~S A VALID PE~IT ~ ~IS PE~T ~P~E~ 180;DA~ F~ ITS I~E DATE_ <br />~S~CTI~ C~ FOR A PERIOD OF 18~'~A~ OR IF ~ST~CT[~ FAILS TO ~E~ ALL <br />RE~IR~ OF STATE ~ ~O ~RI~ ~N~ ~I~D[N~] ~O Z~ING ORDI~C~ ~IS ~,~IT <br />~LL BEdE NULL ~0 DID. , ,: <br /> <br />~EMARKS: <br /> <br />.ONAL,.3 E, rNOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />