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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 ~ propetty:l own or O~oupy <br />I am ~ registered builder OR ( ) the authorized representative SIGNATURE <br />of a registered builder, <br />The we k w be per[ormed by a registered builder. <br />Other <br />I have read and agree to the terms stated o~q the reverse Side of DATE: <br />this document. ' <br /> <br /> DATE: 09/25/91 'riME: 15.'07.'12 <br />'c,~/N~'¢~i FRiESEN, RICHARD ¥~ LSd: 8~,T~8'6¢~'~: RESiDE~qlTiA[ <br /> ADDRESS: ~ 8~fQ~'r~'ObTl~N :r<~: 0bdd ¢;~'¢; ......................... 'l <br /> <br /> 16625 8uT'raViLLE ROAD NE <br /> AURORA OR 9?002 <br /> <br /> ,, <br /> <br /> f.,"Hf3NE; 982-7031 i SiTE NU~I~ER: 14230 <br /> I VALUA'r i ON: <br />'~.(~T: '~ 8L(36R: i SE6f~6N: iTOWNSM' P & : ......... RANGE: ~ ZON~: ' MAP: <br /> <br />WIDTH: I [~'. JAREA: UNITS: fRR~G. LOT: ~CORNER~ <br /> ~ ~ NO NO <br /> <br />TYPE: NEC~ANICAL <br /> <br />CONTRACTOR, NO. <br />P'R,I; ESEN , RICHARO <br />SANE <br /> <br />RERNI'r OR APRLiCA'FION NO: <br /> <br />35430 <br /> <br />PHONE.- 982-7031 <br /> <br /> i rEM <br />0ON~'rlc wooo STOVE <br />MECHANICAL BASE FEE <br />NEQdANiCAL STATE ~RCHARGE <br /> <br />PAYEE: F'RiE~P3'4,. RICHARD <br /> <br />QUANTIr'Y AMOUNT <br /> 1 $?.50 <br /> $~0.00 <br /> $0.88 <br /> <br />,.,,PREWt:OUS REOEI.PT$ <br /> <br /> BALANCE D~JE $0.00 <br /> <br />RECEIPT NO: 3?345 <br /> ?594 <br /> <br />RECEIVED BY: ~ TYRE: CK C~ECK ~: <br /> <br />$18.38 <br /> $0.00 <br />$18.38 <br /> <br />THIS IS A VALID PERt, lIT'*: THIS"PER~IiT:EXpf,RE8 180 DAY~,FROI~I ITS i,S,,..<~E DATE. iF <br />03NSTRUCTION CEASP!c~ FOR A, PER/oD DE 180 DAY~,,::'OR IF CONSTRUCTION EAILS. TO ~IEET ALL <br />RE(~IJiRI~,IENTS OF STATE LNA~ AND ~IARION COJNTY:'SU,ILDiNG' AND zONiNG ORDINANCES, THiS PEI;~IT <br />~'tALL BECOME NULL AND VOID+: <br /> <br />RP-.~RKS: EXISTING INSERT R~3577 . ' ,"., <br />[)ONALD E. ~¢OODLEY, MARION COUNTY BUiLDiNG :OFFICIAL / BY .................................. ~ ..................................... <br /> <br /> <br />