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MARIOn4 COUNTY BUILDING INSPECTION <br /> ,q ,/~ ...~-" SENATOR BLDG.j:&O. 225 <br /> /,,/ /2,_,,~..¢~ ~ 220 HIGH S~,:~ET NE <br /> <br /> Other ,, . <br /> RES~DENTZAL <br /> <br />' AU~VILLE OR 97~b I ' / <br /> A~VILLE~ NO ~ <br /> <br />PHONE; 749-1911 <br /> <br />TYPE: MC'C~IAN I OAL <br /> <br />CCNTRACTOR, NO. <br />GIVENS, ROGER <br /> <br />PEI;~IT OR APPLIOATI'ON NO: <br /> <br />SITE NUh~3ER: <br /> vALUATION: <br /> <br />.4,892 <br /> <br />· 9681 <br /> <br />PHONE: ?4,g-1911 <br /> <br /> ITDV~ <br />DO~IBSTIC WOOD'GTOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE= GIVES, <br />RECEIVED BY: DM <br /> <br />~ THIS I~A VALID PERMIT ;~ ~THIS <br />CONS~CTI$ CF_.AS~ FOR A fPERIO0 <br />RE(~JIRENENTS OF STATE LA~iA¢4Ol <br />SHALL 8ECONE NULL ~NqD VOIDi.~~ \ <br /> <br />QUANTITY <br /> 1 $?.50 <br /> $10.00 <br /> <br /> 0.88 <br /> <br />RE'f4&R~; EXISTING WS <br /> <br />DONALD E. 1~2DLEY, fCCkRION COUNT~, <br /> <br />$22.22 <br /> $o.oo <br /> <br />$0.00 <br /> <br />18358 <br /> 0 <br /> <br /> ~TS ISSUE DATE+ IF <br />FAILS TO NEET ALL <br />~ONING ORDINANCES, THIS PE~IT <br /> <br /> <br />