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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM. OREGQN 97301 <br /> PHONE: 588-5147 8:00 - 4:30 // ? .,~_/ . <br /> 24 HOUR CODE-A-PHONE: 588-7904 A/// / .~.~ t / <br />I,m.regiDeredbu d, O, heDuhorzed ,pe,en. v. 8GNATU~EOFAPPL.ANT,/ ~//X~ . / ////'~.~A <br />of~regJsteredbuJlder, " I ~ / / ' ~ //J' ~ .... <br /> <br />'rIME: 11:35:59 <br /> <br /> TAX LOT; <br /> <br />MARION EA~,'UN 'f'Y NE) <br /> <br /> DATE; 09/26/91 <br />OWNER'. <br /> UBI DGES, DONA <br /> <br />SITUS ADDRESS' <br /> <br /> 9322 SMI'r~ RD <br /> AUMSVi LLE <br /> <br /> SAME <br /> <br />SUBDIVISION <br /> <br />RES 1DEN T i AL <br /> <br />NC OF BEDROOMS <br /> <br /> PHONE: ?4g-205b SITE NUMBER: 3044 <br /> VALUA'r ION: <br /> <br /> 24 8S ~W ,%_'A 5 l <br />WIDTII DEPTH AREA 5, UNITS A~ BRED. LOT NO CO RN EI~O <br /> <br />MECHANICAL <br /> <br />CON'IRACTOR, NO. <br /> DONA <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />35466 <br /> <br />PHONE: '14g-2065 <br /> <br /> iTEM <br />DOfflESTiC I,¢JOO STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL 5'I'A'f'E SURCHARGE <br /> <br />PAYEE: BRiOGES. JOHN <br />RECEIVED BY: 0~2 <br /> <br />QUANI'iIY AlvCgUN'I' <br /> 1 $7.50 <br /> $~0.oo <br /> $0_88 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$18.38 <br /> $o.0o <br />$~8.38 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 37380 <br />TYPE*. CA CHECK ~*: 0 <br /> <br /> THiS iS A VALID PERMIT * THIS PEI~IlT E~I~IRES 180 [IAY~ FR(~ ITS I~E DATE. IF <br />C~3NSTRUCTION C~E5 FOR A PERIOD OE 18D DA~, OR IE ~TRUCTION FAI~ TO MEET ALL <br />Ig~EQUIRE~ENTS OF STATE t. AINS AJ~O MARION CI3JNTY 8UILDING~OZONING ORDINANCES, THiS P~RI~IlT <br />E~HALL BECOD1E NULL AND VOID. <br /> <br />REC4ARKS: kXiS'flNG NS R~3588 <br /> <br />[~)NALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15,56 REV. ~V~ OF FIDE COPY <br /> <br /> <br />