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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLBG. NO. 225 <br />220 HfGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 ' 8:00-4;30 <br />24 HOUR CODE-A-PHONE: §88-7904 <br /> <br />OWN~i~,"['E~ 10/18/91 TIME' 12.33:2'2 ' .......................................... TAX LOT ; CAT~GORY: <br /> ~.O,O Q=2~ ~ RE~IDEN [ LAL <br /> <br /> 307 <br /> ~U~ <br /> AU~ViLLE OR 9't325' ] ] ': : <br /> <br />P'O BOX 855 <br />AUf4SYJ LLE 9Y325 <br />PHONE: 749-1484 <br /> <br /> ~ SLTE NUI~DER: 5666 <br />SEC ION: ;TOWNSHIP: ~ RANGB: [ ~ONE; -" '~'~; ........ <br /> <br />AREA: : UNITS; ~. -i,~ ~ ~-~ ~ ....... :~-~ ~.~ :~,~ <br /> <br />TYPE: MECH.,~C4/CAL PERf~IT OR APPLICA'f'~ON NO: 9036205 <br /> <br />CONTRACTOR, NO. <br />GtB~3ON, OLE'f"I'A <br />PO BOX 855 <br />AUf~4SViLLE 97325 <br />PHONE: 749~1464 <br /> <br /> ~ 'FEN <br />DOf~ EXHS'[' FANS & DRYER VE,N <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br /> AC,IOUN1 <br /> $3.00 <br /> $10.00 <br /> $o.6~ <br /> TOI'ALA.%~E,%~ED <br /> PR,,~t(;X,~ RECEIPTS $13.65 <br /> $0.00 <br /> <br /> mE $o.oo <br />PAYEE; GIBSON, OLETTA ,~,~ ' --' ]NVO]C~ NOr 3B133 <br />R~C~tV~O <br /> ~ 'rYp~ tN ~K ~: u <br /> <br />PLAN R~¥iEN: BY .................................. .QATE .................... <br />REMARKS: VT <br /> <br />CITY JUR{:SD'ICTZON: ~y DAf'E <br /> <br /> OFFICE COPY <br />FORM tf MC 15-5~ REV. 4/90 <br /> <br /> <br />