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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,.- 8:00 A,M, <br /> <br />Other <br /> <br />DATE: 11/04/87 TIME: 2:25 06P <br />'6WNER: , <br /> i TAX LOT: <br /> KOTTEK, JAMES , <br /> <br /> BREITENBUSH-FORESTSERV.RB SE i'UU~T~6~ ~,~¥i ;OCCUPANT LOAD: <br /> DETRIOT OR 9?342 i I <br /> <br />USE OF B01LDIN~: <br /> <br /> 2030 JELDEN NE <br /> SALEM OR 97303 <br /> PHONE: 362-8452 SITE NUNBER: 3022 <br /> VALUATION: <br />LOT: BLOCK: [SECTION:, ¥OWNSHIP: i RANGE: ~i ZONEI MAR: <br /> 25 21 , 93 i 1E ~ TC 102 <br /> : NO i NO <br /> <br />0EVEL'$ CREEK SLI~4ER HO~IE TRAC <br /> <br />TYPE; MECHANICAL PERNIT OR APPLICATION NO: 5383 <br /> <br />CONTRACTOR, NO. <br />KOTTEK, JA~lES <br />2030 JELDEN NE <br />SALEN OR 97903 <br />PHONE: 962-8453 <br /> <br /> ITEl~4 <br />DO~4ESTIC NOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: KOTTEK, JAMES <br />RECEIVED BY: P8 <br /> <br />QUANTITY ,AMOUNT <br /> 1 $7.50 <br /> $10,00 <br /> 8.96 <br /> 0.88 <br /> <br /> : :, REVIOUs :: RECEIPTS <br />: IS [,RECEI PT <br /> BAlAnCE DUE <br /> ,'RECEIPT NO: <br /> : ": ,'TYPE: CA:' CHECK <br /> <br />$27.34 <br /> $0_oo <br />$27.34 <br /> <br />$0.00 <br /> <br />8946 <br /> 0 <br /> <br /> THIS IS A 'VALID PEI~4IT ~ THIS ~:i~:¥~[P-ES 180'OAyS FRO~ ITS ISSUE DATE. IF <br />CON~CT~ON CEA~E~ FOR A ,PERI:OD FAILS TO MEET ALL <br /> <br />RENARKS: ~8102 EXISTING WOODSTOVE :: <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OE~IClAL ,/ BY <br /> <br />OFFICE COPY <br /> <br /> <br />