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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 a property I own or occupy. <br />l am a registered builder OR ( )theauthorizedrepresentatlve <br />of a registered builder, <br />1'he work will De performed by a registered builder. <br />Other <br /> <br />I have read and agree to the terms statod of~ the reverse side of <br /> <br />OWNER: J)A'f'E.' 04/r~4/") 4 'f'I,l'~E: 7: 06-' 47 <br /> <br />$~TUS AI~ACE:~ ROBERT & VA1..AI~:EE <br /> <br />, YAX LOTi <br /> <br />CATEGORY: <br /> <br /> CONTRACT CITY UG8 <br /> ?657 STAYTOM RO SE <br /> BU~Lfil]N~;VzLL'EDING: L'Jf{ 97325 MAR]ON COLiNTY qO <br />USE OF ; <br /> <br />OCCUPANT LOAO' <br /> <br />SUBDIVISION <br /> <br />SAME <br /> <br />PHI]NE." <br /> <br />SITE NUMBER: 94-0A72§ <br />VALUATION'., <br /> RANGE ZONE' <br /> <br />MAP' <br /> <br />WIDTH: <br /> <br />,DEPTH: A~ ...... UNITS ~ R.~G. LOT COE~E~: <br /> r4 'RI · ¢,ff ......... YFS YFf:L <br /> <br />TYPE: MECHANICAL PERNIT OR APPLICATION NO: <br /> <br />60NTRACTOR~ NO. 6.1330 <br />, Gagle Enterpr~.e.~ <br />278? PrJ, rmle Rd SE <br /> <br />PH{]NEz 581.,-2~)72 <br /> <br /> ITEM <br />SEAT PUMP <br />MECHANICAL BASE F'EE <br />HECHANICAt. STATE SURCHARGE <br /> <br />'tOTAL ASSESSED frEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> 1 $6,, 00 <br /> $10,00 <br /> $0.80 <br /> <br /> $0,, 00 <br />$16.80 <br /> <br /> F'A'(EE: Gaqle Enterqea-l~j)es Inc RECEIPT NO: S6419 <br /> ............ ....................... <br /> · TN~S IS A VALID PERMIT ~ THIS PERMIT EXPIRES 18A DAYS FRS~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br /> EQUIRENENTS OF STATE LA~S AND MARION COUNTYBUIL)ING AND ZONING ORDINANCES, THZS PERMIT <br /> ALL BECOME NULL AND VOID. <br /> <br />REHARKS: HP <br /> <br />~)O~tA1.H) E. WOOOLEY~ NAR]:OI,I COJBTY ~fUII..I)ING OFEIr.:IAL / BY <br /> <br />FORM tf MC 15-56 REV, 4~30 OFFICE COPY <br /> <br /> <br />