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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET N~E <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514-7 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> Other <br /> <br /> DAI~,: 10/01/91 f£Mb: 15~35;33 <br />OWNER <br /> 3H,b,L ION, D~.VlJ <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 14.0 HUIV~UG <br />i.)EIROI/ OR 9t:342 <br /> <br />"CONTRAC~ CITY <br /> <br />NO <br /> <br />OCCUPANt' LOAD <br /> <br />PO 8OX 564 <br /> <br />SUBDIVISION <br /> <br />H,~JVlMON O <br /> <br />LOTS 30, 3i & 29 <br /> <br />P3'.iQNE: 854--3407 SI l E NUMBER: !'7'20 <br /> VALUAf ION: <br /> <br /> 30 I 10 <br /> <br />MAP <br /> <br /> 105 <br /> <br />IYPE; I~ECHANiCAL, <br /> <br />tJONIRAC~QN, NO, <br />5HELfON, DAV~) <br />PO BOX 564 <br /> <br />PERMIf OR APPLiCAFION NO: <br /> <br />35811 <br /> <br />PHONE: 854"-3407' <br /> <br /> iTEM <br />DOMESflC WOO0 SI'OVE <br />M~CHANICAL BASE FEE <br />MECHANICAL STALE SLIRCHA~Jb <br /> <br />rOI'AL ~ESSED FEES <br />PREVIOUS RECEIPTS <br /> <br />BALANCE DUE <br /> <br />QUANfI'IY <br /> 1 <br /> <br />AMC,,I, JN[ <br /> <br /> $10,00 <br /> $0.9~ <br /> <br /> $~8-38 <br /> $18,38 <br /> $o_o0 <br /> <br /> $0.OC, <br /> <br /> PAYEE: iNVOiCE NO: <br /> RECEIVED BY: DM TYPE: CHECK ~: O <br /> <br />* THIS IS A VALID PEr,liT ~ THIS PEF~IlT EXPIRES 180 DAYS FRO~I ITS iS~S4JE DATE. iF <br />CONSTRUCTION CEASES FOR A PERIOD OF ~80 DAY~, OR IP (~TRUCTION FAILS TO MEET ALL <br />REQUIRE~IENTS OF STATE LA~ AND IVlARiON CO(JNTY BUILDING AND ZONING ORDINANCES, THiS P~f~AIT <br />SHALL B~COME NULL AND VOID. <br /> <br />RbMARK3;: ~xiSrlNG W5 iN SHOP <br /> <br />IJ(JNAL, D ~, WQODLEY, MARION COUNIY BUILDING OFFICIAL / 8Y <br /> <br />POR~ ,~ MC ~5-,~ ~EV 4mO .~ E COPY <br /> <br /> <br />