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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 <br />CODE-A-PHONE 4:30 P,M. - 8:O0 A.M. <br /> S~GNATURE OF A~ <br /> <br /> I have read and agree ~o the terms stated on the reverse side of <br /> ~his document. <br /> <br /> DATE: I 1/i 2/8'7 TeME: 4.' 22: 5?P <br />OWNER: <br /> HAMPTON, KELLY <br /> <br /> TAX '~0Ti I CATEGORY; <br /> <br />.................... I 6~opAN+ ~,oe~: <br /> <br /> 8873 SHAW SQUARE RD <br />AUNSV]; L. LE <br /> <br />MAILING ADDRESS; <br /> <br />?.0.BOX 8,94 <br />AU~SVZLLE, OR 9?325 <br />FeHONE; 749-2607 <br /> <br />TYPE: i'4ECHAN ~ CAL <br /> <br /> OR <br /> 9?'325 <br /> <br /> : SiTE NUf¢~ER ¢ 205? <br /> ~ VA~UAT ION: <br /> <br /> 2.00000 ( AC ~ NO ~ NO <br />PE~[T OR APPL~CATZ~ NO; 5508 <br /> <br />CONTRACTOR, NC. <br />HA~4PTON, I'fELLY <br />P,O,80X 694 <br />ALJ~,I:S'v'ILL. E, OR 9?325 <br />PH~E: 74g~2507 <br /> <br />DOMESTIC t40OD STOVE <br />¢4ECHAN]CAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />s1ECHAN;CAL STATE SURCHARGE <br /> <br /> QUANTITY AMOUNT <br /> '~ $? .50 <br /> $10,00 <br /> $3.84 <br /> , $0.88 <br /> <br /> ? '~ ::~O,TAL.ASSESSED FEES $22.22 <br />' ~REVZOUS REOE~¢TS $0,00 <br />;,~ : :~HZS R~OaZPT , $22.22 <br /> <br /> BAL~ DUE ,¢ $0.~C <br /> <br /> y IV y : " <br />PA EE: HA IPTON KEL. L R~CEIPT NO~ 6¢73 <br />R~(,,~_fVED aY_ DM ~--"~'"'~ T,,¥F'~:~CK,: CHECK ~: 103~ <br /> <br /> THIS I~ A VALID PFJ~IT ~ THIS <br />CC~S'{'~CTION C~ F(~ A P~IO0 OF ,1:8( <br />R~IR~TS OF STATE ~ ~D ~RI~ ~, , <br /> <br />~E~ARKS: ~ R~8'193 <br />~AL~5 E_ WOOOLEY, ~ARION ~UNTY BUILDING OFFICi~AL / ~Y <br /> <br /> iTS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br />ZCNING ORDiNANCeS, THIS <br /> <br /> <br />