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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 PM - 8::00 AM <br /> <br />Other. <br /> <br />SIONATURE OF APPLICANT <br /> DATE <br /> <br /> OnTG: 04/11/98 <br />OWNFR <br /> <br />TIME: 3=10:08p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~ <br /> <br /> 889 6TN ST <br />,AU~VILLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CTTY UGB <br />ALJIVlSVJ: L~,E ~ NC · <br /> <br />SUBDIVISION <br /> <br /> PN()NE t 588-2373 <br /> <br />LOi BLOCK <br /> <br />S6CTION <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br />:ONITS IRREG LOT <br />NO <br /> <br /> 4119 <br /> <br />~ZONE <br /> <br />: NO <br /> <br />! CAT6GORY <br /> ~ES I DENT I AL <br /> <br />OCCUPANT LOAD <br /> <br />MAP <br /> <br />TYPE; MECHANIC&L <br /> <br />CONTRACTOR, NO. <br />FHA <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />PHONE: 588-2373 <br /> <br /> iTEM <br />DOMESTIC WOOD STOVE <br />fqECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCH&RGE <br /> <br />QUANTITY AMOUNT <br /> $?.5G <br /> <br /> $3,84 <br /> <br />PAYEET FHA <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$22.22 <br /> <br />$22.22 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 8394 <br /> <br />~ yE© BY; C] TYPE: iN CHECK ~: O <br /> <br />* THIS IS A VALID ~RMIT * THIS P~RM~T EXPIRES 180 DAYS PROM ITS ISSU~ DATE. IF <br />CONSTRUCTION C~S FOR A PERIOD DP 1~0 DA~, OR IF OONSTRLK;TION PAIL~ TO ~EET ALL <br />RE(~JIREMENTS OF STAT~ L_A~E~ AC4D DIARIC~N COUNTY BUILDIN~ ANO Z~INO ORDINANCE~, THIS PE~IT <br />SHALL BECOM~ NULL AND VOID. <br /> <br />~EMARKS; WS-EXISTING <br />OONALO E, ~3OOLEY, MARION COUNTY BUILDING OFFICIAL / BY .......... ~ ................. <br /> <br /> <br />