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MARION COUNTY BUILDING INSPECTION <br />SEN/~TOR B~.DG. NO. 225 <br />220::~IIGH 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 />ow~'g: o6/207~0 <br />s,Tus AOO,~~A~' RCN <br /> <br />'['JHE: 11:52:16 <br /> <br />RE$.[DENTIAL <br /> <br /> 12475 FRY Ri} <br /> AU RORA <br />USE OF BUILDING: <br /> <br />OR 97002 <br /> <br />12483 FRY ROAD N6 <br />AURORA 97002 <br />PHONE; 678-2557~ <br /> <br />E,I !r E NU~ER: <br />RAN~LUA'f' tON '; <br /> <br />5180 <br /> : MAp: <br /> <br />WI[DTH ;DERTH: AREA: 21 UNITS: AS U~REG LOT: 1~A~ CORNER: EFU 6 <br /> 515 117 60255. SI:' NO NO <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />PEARSC~. RON <br />12483 FRY Rf~AD NE <br />AURORA 97002 <br />PHONE~ 678-2557f'4SG <br /> <br /> ITE~ <br />OO~F~TZC ~OOo STOVE <br />~6CHANtCA~ BA~E FEE <br />FLEEr SURCHARGE -ZONE 8 <br />~ECHAN[CAL STATE .~AJRCHAR~E <br /> <br />P6~11' OR APPLiCA'I'iOfl NO: <br /> <br />2449~ <br /> <br />(~]AN'I'iTY AI~QJNT <br /> ~ $7.50 <br /> $10.00 <br /> $7.88 <br /> $o.88 <br /> <br />TOTAL ~E.E45EO FEE~ <br />PREViOJ5 RECEIPTS <br />THiS RECEIPT <br /> <br />26.06 <br />$o.oo <br /> <br />8Ab,a,NCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NOR <br /> <br /> RECEIVED BY: PR TYPE: CHECK g: 0 <br /> <br />* THi~ tS A VALID PER, IT · THIS PERi, IT EXPIRE~ 180 OAY~ FRO~ ITS [~E ~TE. IF <br />~T~Ti~ C~ FOR A P~ZOD OE 180 ~. OR ZF ~ST~CTZ~ FA/~ TO ~¢ET ALL <br />~1~T8 OF STATE ~ ~O ~R/~ ~N~ BUZLDZN6 ~D Z~1N80RDJN~C~, THIS PE~ZT <br />~ALLB~ENULL ~D~ZD. <br /> <br /> RE~RK,, ~ iN ~OP ~3~50 ~~_ <br /> ~ALD E+ ~DLEY, ~R[~ C~NTY BUiLDiNG OFF'~CiAL / BY .................... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />