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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 8:00 - 4:30 <br />24 HOUR CODE;A-PHONE: 588-7904 <br /> <br />OtheL <br /> <br />OWNfC~TE: 11/07791 'liME: <br /> <br /> '~B~ OLETTA <br />SIYUS ADDRES~k~' <br /> <br />TAX LOT: <br /> <br /> ................... 9088(¢--2[~0 .... <br />CONSTRUCTION TYPE <br /> <br />CATEGORY: <br /> <br /> ...... R~t'D' EN 1' IAi- <br /> <br /> 307 CHURCH <br /> <br />USE OF BUJLDINGL <br /> <br />.........................CONTRACT CITY: <br /> <br />SUSDIVISION; <br /> <br /> PO 8OX 855 <br /> AUfc~V [ LLE 97325 <br /> PHON~ '/49-1484 SiTE NU~ER: 5668 <br />LO¥ ..... / BLOCK. SECTION TOWNSH P: ' ........ ~- ~[~ ~ ............ [~P~-" <br /> <br /> ~ f)~ 1 f)fl { ~ 0Rl~ n. . ...... SP..-,L ....................... ~-~/ ...... ~F~ ~ ......... <br /> <br />'T'YPE t ~IECHAN 1CAL <br /> <br />CONf'RACTOR, NO. <br />GIBSON, OLETTA <br />PO BOX 855 <br />AUI~ISViLLE 9?325 <br />PHONE: 749-1464 <br /> <br />PER~I'f OR APPLiCATiON NO: 36205 <br /> <br />DO~ E,,~(HS'[' FANS & DRYER YEN'rS <br />MECHANICAL BA~ FEE <br />~I~C~MANICAL STA'f'~ SURCHARGE <br /> <br />TOTAL A~EO'FEES <br />PRE~[C~S~CE1.P'rS <br />THiS RECEIPT <br /> <br />qU/8',ITll'Y A~OUN'f' <br /> 1 $3.00 <br /> $10.00 <br /> $0.65 <br /> <br />SO_ag <br /> <br />BALANCE gtjr~ $0- 00 <br /> <br /> PAYEE: INVOICE NO'. <br /> RECEIVED BY: PB '~YP, f: CHECK ,~: <br /> <br />CGN~TRUOTI~N ~ES FOR A PER[OI:) OF 180 I:~Y~, O1~ ~¢.. ~T,_ZON: FAILS TO I~IE!ET ALL <br />RI~IUZR~,IENT8 OF STATE LAirS ~ND t~RION CGUNTY:'I~UILI)]N~,v,AN, D:,,i~G~,.',iN~ ORDINANCES. THiS PIf~IT <br />~ALL B~:O~E NULL AND VOID. ' ' ,L' .:',' ? !~' <br /> <br /> REt, IARK~: VT ' <br /> <br /> DONALD E. NOODLEY, F[ARICN CC~JNT'( BUiLDiNGOFFiCiAL / BY, .. ............................ · <br /> <br /> OFFICE COPY <br />FORM # MO 15.5(~ REV. <br /> <br /> <br />