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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> '" P~)N E 688-5147 <br /> CODE-A-PHONE 4:30 P,M,, - 8::00 AM <br /> <br /> NELSON, ANOY <br /> <br /> 8992 E~LIFF CT <br />/ AU~VILLE OR 97325 <br /> <br />~SAME <br /> <br /> ~HONE; 581-415~ <br /> <br /> 7 t 2 13 <br /> <br /> TAX LOT <br /> <br /> CONTRACT CITY - <br />MARION c0.UNTY <br /> <br />CASCADE PARK <br /> <br /> RES I DENT I AL <br /> <br />' occ6P~N~ LOA~> .... <br /> <br /> No o~ B~,~o~'s ' <br /> <br /> SITE NUMBER: 5789 <br /> VALUATION: <br /> <br />83 2N AR <br /> YES COPN~ <br /> <br />I MAP <br /> 49 <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />11938 <br /> <br />CONTRACTOR, NO. 4863 <br />NILtJ~METTE NOODSTOVES <br />4883 LIBERTY RD SE <br />SALEM OR 9?302 <br />PHONE: 364-6399 <br /> <br /> ITEM <br />DOMESTIC NOOD STOVE <br />MECHANICAL EASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br /> QUANTITY AMOUNT <br /> t $7.50 <br /> $10.00 <br /> $3.84 <br /> $0.88 <br /> <br />TOTAL A$SE~ED FEES $22.22 <br />~R~VIOUS RECEIPTS $0.00' <br />THIS RECEIPT $22.22 <br /> <br />BALANCE DUE $0.00 <br /> <br /> 12679 8 ~ 3 <br /> <br />PAYEE.' WILL~.~'~ETTE WOOD,STOVES RECEIPT NO: <br />RECEIVED BY~. PB , ~ TYPE: CK CHECK <br /> <br />~ THIS IS A VALID PERMIT * THIS PERMIT EXPIR~ 180 DAYS FROM ITS I~SUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 QAY'5, OR IF CONSTRUCTION FAIt.c` TO NEET ALL <br />REqUIRD~4ENTS OF STATE LAWS AND I~RION COUNTY BUILDING ANO ZONING ORDINANCES, THIS PERi, IT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS$ WOODSTOVE R~6429 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />COrM ~ MC ~e ~V ~,~ OFFICE COPY <br /> <br /> <br />