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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />¢~20 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 />of a registered builder, <br />The work will be performed by a registered builder, <br /> <br />DATE: 12/05/94 TIME: :[3:~0:27 <br /> <br />..........................' CONSTRUCTION '~¥P~; i '3r~UPANCY: <br /> ~ I <br /> 248 SANTIAM AVE -- ~N~, <br /> <br /> VALUATION: <br /> <br /> , MAP: <br /> ~ ~ 2 18 J 5E ~ <br />WIDTH: DEPTH; AREA: UNITS: { J~EG. LOT; ~ qQ~ER: <br /> <br /> TYPE~ HECHANIC~L PERMIT OR APPLICATION NO~ 6~45 <br /> <br />CONI'RAC'TORv NO. 48630 <br />HOME FIRE STOVE <br /> <br />Sa],em~ 97301-8000 <br />PHONE: ~6~'-65~ <br /> <br /> I'rE~ <br />DOMESTIC WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />QWANTITY <br /> i <br /> <br />AMOUNT <br /> $7~50 <br /> $10.08 <br /> $8.88 <br /> <br /> TOTAL ASSESSED FEES $18,, 38 <br /> PREVIOUS RECEIPTS $8.08 <br /> :THIS RECEIPT $18., ;~8 <br /> : .BALANCE'DUE <br /> $8..80 <br /> PAYEE: HOME FIRE STOVE INVOICE NO." 62647 <br /> RECEIVED BY; MB ,,,, <br /> .................... ~ ........... TYPE: CK CHECK ~: 472~ <br /> <br /> ,~ ~-~u,~ ~.~ ~u. n ~[~ZU~ OF 'I8~ FAIL8 TO ~E~T ALL <br />EQUIREHEHTS OF STATE LAMB AND MARION COUNTY BUILDING AND ZONING ORDINANCEs- THIS PE IT <br /> ~LL ~ECO~E HULL ANO V~O, : ~ ~ <br /> <br /> OFFICE COPY <br />FORM # M6 15-56 REV, 4/~0 <br /> <br /> <br />