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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 />lam performing work on a gropertylownoroocup¥ ~~ ,~.. ,~ ~ <br />t am a registered builder O¢1 the authorized representa ve SIGNATURE OF APPLICANT; <br />of a registered builder, <br />The work will be eedormed by 8 registered builder, <br />Other <br />I have read and agree to the terms stated on the reverse side of SATE: <br />this document, <br /> <br /> ])0ZLER,, PAUl.. <br /> <br />; 11&41 8HAFF RI) SE <br />i AUMSVILLE OR 973~a <br /> <br /> TAX LOT: CATEGORY: <br /> CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />CONTRACT CITY: Ugh: OCCUPANT LOAC; <br />MARION COUMTY NO <br /> <br /> NO, OF BEQROOM$: <br /> <br />SUBDIVISION: <br /> <br />PHONE= 769-2275 <br /> <br />SITE flUHBEE: 74-88821 <br />VALUATION: <br /> <br />TYPE= HECHANICAL <br /> <br />CONTRACTOR, bi0. <br />DOZLER, PAUL <br /> <br />PERMIT OR APPLICATION kO; <br /> <br />53173 <br /> <br />PHON .... 769-2275 <br /> <br /> ITEM <br />:lAS CONNECTION <br />GA'] WATFR HEATER <br /> .I .......... BA.¢. FEE <br /> ..lc ..... ~,, .... S 1...,r, ARGE <br /> <br />~OTAL ASSESSED FIRS <br />RE¥I,OUB RECEIPTS <br />3,...S R,...CEIPT <br />~]AI,,A]'.!(:I:~ DUE <br /> <br />QUANTITY AMOUNT <br />2 $4.88 <br />I $?.50 <br /> <br />$22.~8 <br /> $0,00 <br />$22,~8 <br /> <br /> $0,00 <br /> <br /> PAYEE: DOZL~R, PAUL RECEIPT NO: 55633 <br /> RECEIVED BY. PM ............................ TYPE: CA CHECK ~: 0 <br />* THIS IS A VALID PERHIT * THIS PERHIT EXPIRES i80 OAYS FROfl ITS ISSUE DATE. ~F <br />CONSTRUCTION CEASES FOR A PER~O~ OF I88 DAYS,'0R IFCONSTRUCTION FALLS TO MEET ALL <br />EgUIREHENTS OF STATE LAWS AND HARIDN COUNTY BUiLDINC ARD ZONING ORDINANCES~ THIS PERMIT <br /> ~LL 9ECS~E HULL AF~D V§[9. ' ,' <br /> <br /> REMARKS: g$ WTR HTR~ 2 G8 CONN <br /> <br /> DONALQ E. WOOQLEY~ MARION COUNTY B JI,I)IN6 OFFICIAL,/ BY <br /> <br />FORM # MO 15-56 REV, 4/90 OFFICE COPY <br /> <br /> <br />