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MARION COUNTY ~UILDING INSPECTION <br />SEi~ATOR 'BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A.M, <br /> <br />SIGNATURE OF APPLICANT; <br /> DATE: <br /> <br />OWNER. <br />DATE.' 01/30/90 TIME~ <br />~ITUS ADI3~, HAROLD <br /> <br />12o pATTON~ RD <br /> <br />13:06:26 <br /> <br />OR 97342 <br /> <br />DETROIT <br /> <br /> SUBDNISION <br /> <br />UGB <br /> <br /> NO <br /> <br />CATEOOR~ <br /> <br />OCCUPANC <br /> RES I DENT I AL <br /> <br />OCCUPANT LOA~) <br /> <br />P,O. ~ 463 <br />DETROIT, OR 9?342 <br />[~g~3NE: 854--34~L10CK; <br /> <br />SECTION TOWNSH <br />AREA UNITS <br /> <br />VALUATION= <br /> <br />{RREG. LOT <br /> <br />ZONE 9328 <br /> <br />CORNER <br /> <br />MAP: <br /> <br />NO NO <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />HILL~, HAROU3 <br />P,O. BOX 463 <br />DETROIT, OR 97342 <br />PHONE: 054-3441 <br /> <br /> ~' <br />OONESTIC HOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 7 <br />MECHANICAL STATE SURCHARGE <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />PAYEE: HILL~, HAROLD <br />RECEIVED BY.- CL <br /> <br />21604 <br /> <br /> (~JANTITY AMOUNT <br /> $7.50 <br /> $10.00 <br /> $8.96 <br /> $o. ee <br />TOTAL $2% 34 <br />PREVIOJS. :RECEIPTS $0. O0 <br />"tHIS RECEIPT $27.34 <br />E~LANCE OUE $0. O0 <br /> <br /> iNVOIC~ NO: 22914 <br />· TYPE; IN CHECK ~.+ 0 <br /> <br />]HIS IS A VALID PE~IT ~ THZS PER~IT~ ~IRES 180 lI'~:~ ]~JE DATE. IF <br /> <br />DONALD E. I'~ODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y ............... <br /> <br />F'Om ,, MC :!, !',,~ ,~v ~7 OFFICE COPY <br /> <br /> <br />