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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 />registered builder, <br /> <br />DATE: <br /> <br /> FmHA <br /> <br />885 N 7TN <br /> <br />AUMSVI LLE OR 97325 <br />USE OF BUILDING; <br /> <br />MAILING ADDRESS; <br /> <br />!855 25TH ST SE <br />AUMSVILLE. OREGON 9?325 <br />PHONE: <br /> <br />LOT; <br /> <br />WIDTH: <br /> <br />;~00~ ~EOROOM$ <br /> <br /> ,I SZTE NUMBER: 3147 <br /> i VALUATION; <br /> <br />DEPTH: ! AREA: [UNITS: i IRREG, LOT; I CORNER; ' <br /> <br />TYPE: MECHANICAL <br /> <br />PERMIT OR APPLICATION NO: 5632 <br /> <br />CONTRACTOR, NO. <br />PrnHA <br />1655 25TH ST SE <br />AUMSV~LLE. OREGON 9?325 <br />~HOhlE~ <br /> <br /> I TEK QUANT I TY A?40UN T <br />DOMESTIC WOOD STOVE '! $7.50 <br />,~ECHAN I .AL BASE FEE $ 10.0O <br />FLEET SURCHA~E ~Z~E 3 $3.84 <br />~CHANZ~AL STATE SURCHARGE : S0_cS' <br /> <br /> TO, AL A~ESSED FEED $ 22.2 ~ <br /> , RECEIPT $22.22 <br /> <br /> . <br /> , <br /> <br />PAYEE: PmHA ~ ~RVOICE NO <br /> <br /> ~IS IS A VALID PE~IT ~, ~IS ~:F~ ITS I~E ~TE. IF <br />~T~CTI~ C~ FOR A :P~I:O0 OF 1~0 ~70R:~T~CTI~ FAI~ TO M~ ALL <br />RE~R~ OF STATE ~O~I~ ~N~ 8uikD!N~'~.~O Z~ING ORDI~C~. r~IS P~,IT <br />~a~ 8~E NU~ ~0 ~ZO. : <br /> <br />DONALD E. FJOODL~Y, ~ARION C~NTy 8U~:LD~NG OF~,C~AL /:;~Y <br /> <br />RM # MC 1558 REV 6/~7 OFFICE C6PY <br /> <br /> <br />