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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br />(~4~) The work will be performed by a registered builder, <br /> <br />DALE: 07/02/91 <br /> <br /> 8AYN'f'ON, RI CHARD <br /> <br /> PHONE: B88-5147 8:00 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> SIGNATURE OFAPPLICAN¥ ~~~ <br />]~:$?': '~ <br /> <br /> TAX LOT CATEGORY <br /> t b (3 ~ D ~.(:~ 5 ~:) R ~S 1 O EN ~ l A L <br /> <br /> CONSTBUCT~QN TYPE OCCUPANC~ <br /> <br /> ?82] 'f'ERRANCE LN <br />AUMSVILLE <br /> <br />MAILING ADDRESS: <br /> <br />9?325 <br /> <br />VlAR ;,ON r.~UN'I Y '.J(') <br /> <br />SU BDIVI$1ON. <br /> <br />SAME <br /> <br />PHONEt ?49-3634 <br /> <br /> SITE NUIVI~EM: 3b~3 <br /> VALUATION= <br /> <br />2~ 85 ~W AR 51 <br /> <br />f'YPE: MECHANICAL <br /> <br />~N'I'RACI'OR, NO. <br />BAYN]'ON, RICHARD <br />SAME <br /> <br />PHONE; ';~49~3634 <br /> <br /> if'EM <br />E.~OMES'f'IO WOOD S'I'OV~ <br />~IECHANICAL BASE FEE <br />MECHANICAL 5fA'rE SURCHARGE <br /> <br />PER¢4I'I' OR APPLICATION NO: <br /> <br />33397 <br /> <br />QUANTITY AMOLINf' <br /> <br /> $~o_oo <br /> $0.88 <br /> <br />'f'O'fAL ASSESSED <br />PRE¥~O~SRECEiPT$ <br />'f'HiS RECEIR~ <br /> <br />$] 8,38 <br /> So_Do <br />$18.38 <br /> <br />BALANCE DUE <br /> <br />PAYEE:: 8AYNTON, RICHARD RECglP'T' NO: 3521'? <br />RECEIVED BY~ O'1 TYPE: CK CHECK ~: 1309 <br /> <br />~ THIS iS A VALID PERMIT * TH:IS PERMIT EXPIRES 180 DAYS FRC~ iTS ISSUE BATE+ IF <br />CONSTRUCTION CE/~ES FOR A PERIOD OF 380 DAYS, OR IEC~S~RUCTION FALLS TO MEET ALL <br />RECiJiRE~4E~TS OF STATE L~ A~4D MARION C~NTY 8UILDI:NG AND:ZONiNG ORDINANCES, TH~S PERMIT <br />SHALL BEenE NULL AND VOID. <br /> <br />REMARKS: ~ R~658'? <br />OONALD E. WOOOLEY, MARION COUNTY BUiLDiNG OFFiCiAL / BY .................. ~ ............................................................ <br /> <br />FORM # MC 1 ~.$6 REV, 4/90 OF FICE COPY <br /> <br /> <br />