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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 ,; <br /> 247,0 HIC..~H 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 />I am performing work on 8 property I own or occupy. <br />I am a registered builder OR the authorized representetive <br /> of a regls~ered builder, <br />The work will be perfformed by a registered builder, <br />Other. <br /> <br /> DATE: 08/20/87 <br />OWNER: <br /> PMHA <br /> <br /> 880 N ?TH AVE <br /> AU~VILLE <br />USE OF BUILDING: <br /> <br /> 1855 25TH ST SE <br /> SALEM, OREGON <br /> PHONE= 299-5751 <br /> <br />TIME: 3.:.50:05D <br /> <br /> i CATEGORY: <br /> : i COMMERICAL <br /> ~ CONSTRUCTION TYPE: <br /> <br />OR 97225 ~ I <br /> AI~MSV I4.L,B- <br /> <br /> ~ SITE NU~ER: ,2262 <br /> ~6~N~I": ~ RANGE; ~ ZONE; [MAP: <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 9891 <br />OREGON HOUSING & ASSOC. <br />1395 LIBERTY ROAD SE <br />SALEM. OREGON 9?302 <br />PHONE: 585-8193 <br /> <br /> ITEM <br />12(:¢4ESTIC MOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />3914 <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $?,5o <br /> $1o.oo <br /> ~3.84 <br /> 0.88 <br /> <br />$22.22 <br /> $0.0o <br />$22,22 <br /> <br />$0.00 <br /> <br />PAYEE.- OREGON HOUSING & ASSOC. SERVI~E~ : ,,' i?i"':: I '::'iNVOICE NO: 4~,69 <br />RECEIVED BY: CL L' :~%,~_ ~ ~PE.*' I,N', CHECK ~: 0 <br /> <br />~LL B~E NULL ~O ~IO;: ' ' <br /> <br />00NALD E. NOOOLEY, MARION C~NTY BUILDINg' QFFtCIAL <br /> <br />FORM '~ MC 15'~6 REV 6]U7 OFFICE COPY <br /> <br /> <br />