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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 /> DATE] 12106194 , , <br /> <br /> 73.~ SH~W MNY SE , , <br />,use o~ au L2~~ <br /> <br /> I SITE NUHBER: <br /> PHOME: 749-26;~5 ., VALUATION: <br /> <br />~ I 25 8s 12w ! AR !49 <br /> <br />TYPE: MECHANICAL <br /> <br />rC, ONTRACTOR~ NO,, <br />REBD~ WAYNE <br /> <br />PERMIT OR APPLICATION <br /> <br />PHONE: 749-~.6~5 <br /> <br /> ITEM <br />GAS CONNECTION <br />DOHES?IC WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANZS~L STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREV~OU.~ ~EOEIPTS <br /> THIS RECEIPT <br />:: BAEANC, E DLIE: <br /> <br />QUANTITY AHOUNT <br />1 $2.00 <br />i $7.50 <br /> $10.00 <br /> $0.90 <br /> <br />$20.48 <br /> $0~0o <br />$~0.48 <br /> <br />$0.80 <br /> <br /> ~AYEE.' REDg, ~: ] <br /> IxFCFIVED BI: PM WAYNE : ]' RECEIPT NO: ~2667 <br /> ........................,,,--.C ....... 222./~L2 : TYPE: CK CHECK ~: 9589 <br /> * THIS lSA VALID PERMIT THIS,pERMi~,EXRIRE8 lBS DAyS FROM ITS ISSUE ~ATE. <br />CONSTRUCTION CEASES FOR A iF cONSTRUCTION FALLS TO MEET ALL , <br /> <br /> REHARKS: GAS S~VE INSERT <br /> DONALI) E. WOODI..EY~ MARION COUNTY BUILDING OF'FICIAL ' <br /> <br />OF?ICE COPY <br /> <br /> <br />