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MARION CO_I.~NTY .BUILDING INSPECTION <br />SENATOR'BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 688-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M, <br /> <br /> of S registered builder, <br /> The work will be performed by a registered builder, <br /> Other. <br /> <br />DATE: 09/28/8? TIME: 3:31 <br /> <br /> CATEGORY: <br /> <br />i OCCUEANC¥: <br /> <br />COMMERICAL <br /> <br />SlTDS ADDRESS: <br /> <br /> 13222 ASPEN WAY <br /> AURO~ OR 9700~ ~ CONTRACT CITY; uee; i OCCUPANT gOAD: <br /> ~AR <br /> <br /> SINGLE FAMILY DNELLZNGS <br />MAIUNG ADDRESS: <br /> <br /> 10104 BROABACRES RD NE <br />, HUBBARD, OREGON 9?032 <br />PHONE: 962-9185 <br /> <br />gOT: BLOCK: <br />2 <br /> <br /> LAKENOOD ESTATES ~4 <br /> <br /> SITE NUMBER: 2644 <br /> i VALUATION: <br /> <br />:SECTION; '" ' ' '"!TOWNSHIP: ........ L ........ ~ ..... RANGE: 'ZONE: MAP: <br /> <br /> AREA: iUNIT$: I ,RREG, gOT: NO ic°Rr~J~: <br /> <br />TYPE: ME(~HANICAL PERMIT OR APPLICATION NO: 4635 <br /> <br />CONTRACTOR, NO. 48914 <br />CRAFT STOVE <br />'15123 SE MCLOUGHLIN <br />MILNAUKIE, OREGON 97222 <br />PHONE: 653-?900 <br /> <br /> ITEM <br />DOMESTIC MOOD S'TOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 6 <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />, :: PRE~I OUS:::RF_..OE I PTS <br /> <br />QUANTITY AMOUNT <br /> 1 $7-50 <br /> $10,00 <br /> $?.68 <br /> $0.88 <br /> <br />$26.06 <br /> $0.00 <br /> <br />$0_00 <br /> <br />PAYEE: BEATTIE, JEROME , : i,,:;' ,,,~,',,,: F~ECEIPT NO: 5195 <br /> <br />RE~ZR~ OF STATE ~;~D ~[~ ~ BU[~ZN6:;~D Z~IN~ ORD[~C~. ~[S ~T <br />~ 8E~E NULL ~O ~IO; : : <br /> <br />RE~RKS ~ ~ <br />~NALO E. N~DLEY, MARION C~NTY BUILDING O~¢ZCI~L: /:.BY _= ...................... <br /> <br />~.M ~ MC ~5.S6 ~V.S/~ OFFICE COPY <br /> <br /> <br />