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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 925 <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 /> fZ~L, <br /> <br /> 7742 TEkR~NCE t.N ~E ' <br />~IJMSVILLE or~ 97325 ¢~T ~'~NTY "~B: :6dCUPANT LOAD, <br /> <br /> ; NO OF BEDROOMS: <br /> <br /> T~ZRRANCE <br /> SAME '~-- <br /> SITE NUMBER: 94-84227 <br /> PHONL,, 749-25:t7 , WLU~T2 ON,,,. <br /> <br />L ! ~ ~ ~ , <br /> <br />TYPE= HECHANICAL <br /> <br />PERMIT OR APPLICATION HO: 59326 <br /> <br /> ITEM <br /> CONI,IE(;T.I, ON <br />14ECNANICAL BASE FEE <br />NECNANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />P~E¥IQUS BECEIPTS <br /> <br />QUANTITY AMOIII,IT <br /> 1 $2 ,, <br /> $10. <br /> $0.68 <br /> <br /> l'dlS RECEIPT <br /> <br /> PAYEE: G,',)q].e E)'l'cerp '~.t~.es~. ,I~iC RECEIPT NO: 619~5 <br /> RE. CEIVK~ BY: Iqb__ =, TYPE: CK CHF'CK <br /> S .THIS IS A VALID PER~IT;* :THIS:~ERHIT EXPIRES 18e BAYS FROM iTS ISSUE DATE. ~F <br />CONSTRBCTION CEASES FOR A PERIoD..QF 188 D~YS, OE.:IF CONSTRUCTION FALLS TO MEET ALL <br /> ALL 9ECOHE NULL AND <br /> <br />I)I:)~,IAI...I) E., <br /> <br />HOOI)I...~ZY~ MARION COUNTY ~3UI.;.i)IN6 OFFICIAl.. / BY <br /> <br />FORM # MD 15-58 REV, 4/90 OFFICE COPY <br /> <br /> <br />