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MARION C~OUNT.,Y BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 EM. - 8:00 A.M. <br /> <br />of a registered builder, <br /> <br />°wBtA%E .' 04/28/89 <br /> <br />SITUS ADDR~~I T~, .,.FRED <br /> <br />TINE: <br /> <br />12:11=10p TA×~T: <br /> CONSTRUCTION TYPE; <br /> <br />RES I DENT I A~, <br /> <br />310 LAKEOREST DR CON'~RAOTCITY: ' UGB; <br />DETROIT OR 97342 <br />USE OF BUILDING: DETROIT NO <br /> <br />OCCUPANT LOAD; <br /> <br /> NO, OF' SEDROOMS <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION; <br /> <br />13367 PORTLAND RD NE <br />GERVAIS, OR 97026 <br />PHONE: 634-2207 <br /> SLOCK: <br /> <br /> SITE NUMBER: 6889 <br />SECTION: TOWNSHIP' ~AN~ALUATION ~ ZONe: MAP: <br /> <br />WIDTH: <br /> <br /> DSPTM; AREA: 1 UNITS: 10 IRREG. [J2T~ 5E CORN~H; M/F 'l 05 <br />108 181 17388. O SF NO NO <br /> <br />TYPE: MECHANICAL <br /> <br />CONTPv~CTOR, NO. <br />SMITH. FRED <br />13367 PORTLAND RD NE <br />GERVAIS, OR 97028 <br />PHONE: 634-220? <br /> <br /> ITEN <br />DON E)~IST FANS & DRYER VENUS <br />MECHANICAL BASE FEE ~:= <br />FLEET SURCHARGE -ZONE ? <br />MECHANICAL STATE SURCHARGE,:, <br /> <br />PERMIT OR APPLICATION NO: 15151 <br /> <br />: QUANTITY AMOUNT <br /> ::::::. :i i 1 $3. O0 <br /> ' $10_00 <br /> ...... $8.96 <br /> ,, $0.65 <br /> <br /> FEES <br /> <br /> $22.61 <br /> PREvzo s RECEIPTS :, $0.00 <br /> $22.61 <br /> .... ::; $o.oo <br />PAYEE: SH[TH, FRED NO: 18500 <br />RECEIVED BY: c] <br /> <br />R~IR~ OF STATE ORDIN~C~, ~IS PE~IT <br />~ B~E. NULL <br /> <br />D~ALDRE~RKS :E. BAIRN N~DLEY. E~T ~RION <br /> <br />FORM ¢ MC 1~.56 REV, 11/88 OFFICE COPY <br /> <br /> <br />