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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLOG, 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 />:1,2/02/94 'f'IME: 8;~ 49:20 <br /> <br />CONSTRUCTION TYPE; i OCCUPANCY: <br /> <br /> i45 SAI,ITZAM AVE ~"~ C,TY: <br /> ~ETRSII' O~ ~7~42 , , <br /> <br /> SlIE NUH~ER: 94-~4~38 <br /> PHONE: 845-g044 V~LUATION: <br /> <br />~; ............... i BLOCK'. ~ ~b'f ~5~i ......... ~ ~i~ <br /> i ' ] , <br /> <br />TYPE: HECHANICAL PERMIT OR APPLICATIOH NO: 68~3 <br /> <br />CONTRACTOR~ NO, 577~4 <br /> MEL?S STO~ES <br />?08 EDGEWATER NW <br />~ALE~! 97304 <br />FHONE, ~78-0162 <br /> <br /> ITEM <br />GAS OONNEOTION <br />~OMEST~C WOOD STOVE <br />NE6HAN~C~L ~ASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br /> MEt. S STOVES <br />PAYEE: v <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS;RECEIPT <br /> <br />QUANTITY AHOUNT <br />1 $2.00 <br />I $7.50 <br /> $10.00 <br /> $0,,98 <br /> <br />$20.48 <br /> $0.00 <br />$20.48 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 62601 <br /> <br /> RECEiVEB 9Y: mb ........................................ TYPE: CK CHECK ~: 5953 <br /> <br /> * THIS ZSA VALID PERMIT ~. THIS.P~RMIT EXPIRES180 DAYS FROM ITS ISSUE DATE. IF <br />~OHSYRU~TION CEASES FOR A PERIOD OF iBC BAYS,'OR IF ~ONS]i~UCTION FAILS TO MEET ALL <br /> EQUIREMENTS OF STATE LAWS AND MARION. COUNTY BUILDING AHB ZONIN~ ORDINANCES~ THIS PERMIT <br /> ALL BE6OME NULL AND VOID. <br /> <br />REMARKS: GL,GAS INSERT <br /> <br />DONALD E,, WOSDt. EY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />