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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 ~ 4:90 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work will be pedorrned by a registered builder· <br /> <br />DATE: 12/14/~74 TIHE: I0.~4,3'-'5~ <br /> <br /> ~ESIDENTIAL <br /> <br /> 655 4TH ST N ~ <br /> <br /> ..... NO OF BEOROOMS: <br /> <br /> P,,O. BOX 577 ~ t,.U6~S ADDITION <br /> AOHSVZLLE BiTE NUMBER: 94-~4&59 <br /> PHONE: 74~-12~e ~ VALUATION: <br /> <br /> fC~'~R~;' <br /> <br />...... , ......... ] .............. L .............................. <br /> TYPE: MECHAH~CAL PERHiT OR APPLICATION NO: 60228 <br /> <br />CON'rRACTOR, NO. <br />OSLIE, STEVE <br />F%0. BOX 577 <br />AUMSVILLE <br />PHONE: 749-1298 <br /> <br /> ITEM QUANTITY AMOONT <br /> GAS C(INNECI'ION 1 $2.08 <br /> SUSPENDED HEATER 1 $6.00 <br /> MECHANICAL BASE FEE <br /> - . $18.00 <br /> MECHANICAL STATE ~URCHARGE $0.?8 <br /> 'TOTAL ASSESSED ~EE$ $18,.90 <br /> PREVIOU~ RECEIPTS $8~80 <br /> THIO ~E'CEZPT $18,,90 <br /> BALANCE DUE $8.00 <br /> PAYEE: [ISLIE~ STEVE INVOICE NO: ~28~8 <br /> RECEIVED BY: mb <br /> I'Y~E: IN CHECK ~: 0 <br /> ~ THIS IS A VALID PERMIT ~ THIS PER~IT EXPIREB 18~ DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 18B'DAYS~,OR iF CONBTRUCTIQN FALLS TO NEET ALL <br /> EQUIREMENTS OF STATE LAWS AMD MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AND VOID. <br /> <br /> REH~RK$: GI.~SUSP NEA'fER <br /> DONAL.D E. WOODLEY, MAR:ION COUNTY BUILDING OFFICIAL BY <br /> <br />OFFICE COPY <br /> <br /> <br />