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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 />I am performing work on 8 property I own or occupy. <br />l em a registered builder OR ( )theauthorizedrep~esentsbve <br />of e registered builder. <br />The work will be oerformed by 8 registered builder. <br />Other <br /> <br />......... DA:f:E-' ..10/01/91 I' I, ME .-'t..?'.: 55: 27 ...................................... · ........................ <br />j OWNER: <br /> NILLiCAN, I~IAR'T'HA i -. RE~tOE~"CiAll <br /> <br /> t35 5 PATroN ROAD -- l'dS~:~,UT'~i¥;~; ............ I"t~~; i' OCCL~P'~'N~-LOAG' <br /> DEI'ROi]r' OR 9?342 ! - ' <br /> JD~:RO I,T ............. J ............ 4'40- · <br /> <br /> I <br /> MAILING ADORE$$: i BGBOIVIBION; <br /> <br />PO BOX 484 <br />DETROIT 9'~34.2 <br />PHONE'- 854-3626 <br /> <br />LOT: ! BLOCK: ~EO~ION: : TOWN~H'[~i <br /> <br /> 5 <br />V~I D T H'l iOE PTH: [ AREA: UNITS: <br /> <br />SiTE NUIViB ER: 14434 <br />VALUAT iON <br />RANGE: ~ ZONE'. I MAP: <br /> I <br /> <br />IRREe LOT; <br /> NO I NO <br /> <br />'TYPE: N~ECHAN I CAL <br /> <br />c~ T~,O.' ['0~, NO- <br />f'4I LLICAN, fqAR'T'HA <br />PO BOX 484 <br />C~E'r ROl'f' 9?342 <br />PHONE: 854~3526 <br /> <br /> i 'rD,4 <br />DOC4E~'~"~.C WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE ~RCI-tARGE <br /> <br />PERi'4i'r OR APPLICATION NO: <br /> <br />PAYEE: MiLLiCA.N, I~tAR'THA <br />RECEIVED BY: Of'12 <br /> <br />35821 <br /> <br />QUANTITY ANYOUNt' <br /> I $?.50 <br /> $~0-00 <br /> $0,88 <br /> <br />~H:~S RECE~ P~ ::;" : $18,38 <br />BALANCE CO~ $0.00 <br /> <br /> iNVOiCE NO: 37735 <br /> TYPE: ;~N G~ECK ~: O <br /> <br />COf~TF~JCTiON CEA~¢:~ F'OR A PER~OD OF 180 ~: OR IF ~T~I~ PAI~ TO ~EET ALL <br />R~IR~TS OF STATE ~ ~D '~R[~ ~::TY BU[EOiN6,',':~D:~:Z~IN~,:70RDI~. THIS <br />~ALL B~E NULL ~D ~ID. <br /> , <br /> <br /> R~RKS: E~]8'~'iNG W5 ...................................... ~ <br /> EX'ALU ~. ~DLEY, ~RI~ C~Nf'Y 8UILOING OFFICIAL / BY ...................... <br /> <br />.......... ¢IFIPlC, F <br /> <br /> <br />