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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 22-5 <br />220 HIGH STREET NJ-' <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: 10115/92 TINE: 11:42:~4 <br />CONWAY~ MILLARD E. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT: <br /> <br />SAME <br /> <br />RHONE: 678-5250 <br /> <br />SITE NUMBER: 92-05669 <br />VALUATION: <br /> <br />LOT: : BLObK: <br /> <br />SEDTION: TOWNSHIP: RANGE: ZONE; <br /> <br />~W~DTH: DEPTH: AREAl , UNITS: IRREG. LOT: CORNER; <br /> ' NO NO <br /> <br />DATEGORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />: Occ[JRANT LOAD: <br /> <br />i NO 6F eEo~O0~S: <br /> <br />MAP; <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR~ NO. <br /> <br />SAME <br />~HONE: 678-5250 <br /> ITEM <br />OOMESTIC WOOD sTOVE <br />HEOHANICAL EASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br /> PERMIT OR APPLICATION NO: <br /> <br />68831 <br /> <br />45226 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNI' <br /> 1 $7.S0 <br /> $10.00 <br /> $0.88 <br /> <br /> $0,00 <br />SZS.SB <br /> <br />8ALANOE DUE $0.00 <br /> <br />PAYEE: CONWAY, HILLARD E. ~ RECEIPT NO: 45307 <br />RECEIVED BY: ld ................ ~ ................. TYPE: CK CHECK ~: t658 <br /> <br />* THIS IS A VALID PERMIT · THIS PERHIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF lSO DAYS, OR IE CONSTRUCTION FAILS TO MEET ALL <br />EDUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AMD ZONIM6 ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REHARKS: WOODBTOVE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />