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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 />of a registered builder <br /> <br />Other. <br /> <br /> UA l ~.' 10/2'9/91 ¥ IFIE: <br />OWNER <br /> ANL)E~EN, HOWARD <br />SITUS ADDRESS <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 220 BOULDER <br />OEYR~iT OR <br /> <br />:BEI['~OI [ NO <br /> <br /> SAM~ <br /> <br /> PHONE: <br /> <br />LOT SLOCK <br />13 <br /> <br /> 1 <br /> <br />HAMMOND <br /> <br />RESiOENI iAL <br /> <br /> VALUA[ION: <br /> <br />13 I 10 <br /> ~AREA UNITS ISREG LOT CORNER <br /> 75' ?500. SF NO NO <br /> <br />YYPE: MECHANICAL PERMII OR APPLiCAilON NO: <br /> <br />CONfRACfOR, NO. <br />AND~(5~N~ HOWARD <br />SAME <br /> <br />854-3539 <br /> <br /> I fEf4 <br />DONESfIC WOOD 5rove <br />M~CHANiC'AL BASE FEE <br />MECHANICAL SfAfE ~¢JR~idARGE <br /> <br />QUANIIIY AMOUNI <br /> <br /> $1o_oo <br /> $0,88 <br /> <br />IOIAL A~E~ED FEE5 <br />PREVICTJS RECEIPTS <br />f'HIS RECEIPf <br /> <br />$18.38 <br /> SO.OD <br />$~9_~8 <br /> <br />BALANCE DUE $0.0O <br /> <br />PAYbE: ANDERSEN, HOWARD iNVOICE NO: 38364 <br />RECeiVED BY: Jl TYPE: IN CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PEI~IT 19(PIERS 180 DAYS F~OM ITS ISSUE OATE. IF <br />C{~ISTRLICTION CF_A~I~::~ FORA PERIOD OF 180 DAY~. OR iF C~NSTRUCTION FAILS TO MEET ALL <br />R/E~UiRE~ENTS OF STATE LAIA~ AND It~ARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PER,rifT <br />SHALL BEOOME NULL AND VOID. <br /> <br />REMARKS: WOOD SfOVE <br /> <br />F3ONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />