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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 a registered builder OR the authorized re0resentatlve <br />of e registered builder. <br /> <br />Other .... <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />"oW~'~ DATE 02/1.7/94 TTME-'_ ...9:D.7_:35 .................................................................................. <br /> <br />I AUMSVILLE OR 97002 MARION COUNTY NO <br />~'~ '~SiEdFN~ <br /> <br /> . I SITE ~ER: 94-00453 <br /> PHONE. 749"-3221 ~ VALUATION: <br /> <br />T~PE: MEC~ICAL PERMIT OR APPLICATION NO: 52617 <br /> <br />CONTRACTOR. NO. <br />PAYNE, AUDREY <br />SA~E <br /> <br />PHONE: 749-3221 <br /> <br /> ITEM <br />DOMESTIC WOOD STOVE <br />OTHER (AS PER HECRANICAL CODE) <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AHOUNT <br /> 1 $7.50 <br /> $7.50 <br /> $1o.oo <br /> $1.25 <br /> <br />PAYEE: <br />RECEIVED BY: FB <br /> <br />* THIS IS A VALID <br />CONSTRUCTION CEASES <br /> EQUIREMENT$ OF STATE <br />SALL BECOHE NULL ~ <br /> <br />~OTAL ASSESSED FEES <br />PREVI~UERECEIPTS <br /> <br /> RECEIPT NO: <br />,., , ..... TYPE: CHECK #: 0 <br /> <br />DONALD E. }/OODLEY, MARION COUNTY BUILDING Of'Fi6~AL :/ :BY <br /> <br />I26.25 <br /> 26.25 <br /> $o.oo <br /> <br />$0.00 <br /> <br />FROM ITS ISSUE DATE. IF <br /> F~ILS TO MEET ALL <br /> ORDINANCES, THIS PERMIT <br /> <br />~onu # uc t s-s~ a~, 4/~o CE COPY <br /> <br /> <br />