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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 />BATE: 10/12/90 TIME: 12:06:07 <br />WALLING, <br /> <br /> 10567 STAYTON RD SE : <br />AUIvFJVI LLE OR ~7325 CONTRACT CITY: UGh: <br /> <br /> f~AR I ON CTOUN 'f'Y NO <br /> <br />USE OF BU~LD~NG: <br /> <br />DATE; <br /> <br />TAX LOT; CATEGORY: <br /> RES ! DEN 1 J AL, <br /> <br />OCCUPANCY: <br /> <br />MAILING ADDRESS: , SUBDIVISION: <br /> <br /> BYF'ORD & BEVERLY ~DERLING <br /> 769-2220 6368 STAY'rON RD SE TURNER <br /> PHONE: 769-5563 SiTE NUIVE]ER, 9569 <br /> VALUAT I (~N: <br /> <br />LOT: ; BLOCK: SECTION: TOWNSHIP; RANGE: ZONE: MAP: <br /> 1 ? 9S 1N EFU 60 <br /> <br />WIDTH: <br /> 119 DEPTH: 421 AREA: 50099. UNITS: SF [RRSG LOT: NO C°~N~b <br /> <br />'fYl~E~ MECHANICAL PERMIT OR APPLICA'TION NO~ 27983 <br /> <br />CONTRACTOR, NO. 57'~04 <br />MEL'S S'fOV~ <br />908 EOGENA'FER NN <br />~ALEM, OR 97304 <br />PHONE: 378-0162 <br /> <br /> ITEM <br />00~E~'f'IC WOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEEt MEL'S S'I'OVE~ <br /> <br />TOTAL AE~.~SED FEE~ <br />PRE¥1OUSRECEi~T$ <br />THIS R~CEiPT <br /> <br />QLI.t~NTII'Y AMOUNT <br /> 1 $?.50 <br /> $1o.oo <br /> <br />$22.22 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />R~E l P 1" NO: 295'12 <br /> <br /> RECEIVE[) BY: DM2 .................................................................................................... TYPE: CK CHECK ~: 2359 <br /> <br /> THIS IS A VALID PER~iT * THIS PERMIT EXPiRE~ 150 DAY~ FRC~ <br />~T~OT]~ C~ FOR A PERIOD ~ 180 ~, ~ iF ~T~OT~ FAI~ TO MEET ALL <br />R~IR~T8 ~ STATE ~ ~D ~Rl~ ~N'rY BUILDING ~D Z~/NG ORDiN~C~, THIS PE~iT <br />~ALL B~E NULL ~O VOID. <br /> <br />REMARKS~ N{-5 RAt440? C~/'~ <br />DONALD E. NOODLEY, MARION COUN'rY BUILDING OFFiCiAL / BY ......................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />