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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 /> I have read and agree to the terms stated on the reverse side of <br /> <br /> DATE: 0?/07/88 TIME= 3:28:18p <br />Ow. ER: COLLINS, MICHELLE & SCOTT <br /> <br />SITUS AODR£SS: <br /> <br /> 13840 WISTERIA DR <br /> AURORA <br /> <br /> PHONE: 878-2775 <br /> <br />LOT: BLOCK: <br />WIDIH: DEPTH. <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />COLLINS, MICHELLE & SCOTT <br />SAME <br /> <br />PHONE= 678-2??5 <br /> <br /> RESIDENTIAL <br /> <br /> ' CONSTRUCTION TYPE: i OCCUPANCY: <br />NE <br /> MARION COUNTY <br /> <br />OR 9?002 <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br /> 11 4S 1W AR 3 <br /> <br />PERMIT OR APPLICATION NO: F~9~96'"~ ...... <br /> <br /> ITEM <br />DOMESTIC HOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 6 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: ALICIA MUSOLINO <br />RECEIVED BY: JB <br /> <br />QUANTITY AMOUNT <br /> 1 $?.50 <br /> $10.00 <br /> $'7.68 <br /> $0.88 <br /> <br />TOTAL ASsESSED:FEES <br />PREVIOUS RECEIPTS <br />/HIS RECEIPT <br /> <br />$26.06 <br /> $0.00 <br />$25.06 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO~ 10268 <br />tWPE: CK CHECK ~: 104 <br /> <br />~ THIS I$ A VALID PERMIT TM 7HI$ PERMIT EXPIRES180DAY~:FRON. IT$ I,%SUE DATE. IF <br />CONSTRUCTION CF.~ES FOR A ~ERIOD OF 180 DAYS, ORIECONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENT~ OF STATE LAWSAND MARION COUNTY BUILDING,AND ZONING ORDINAC4CES. THIS PER,lIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS= NS R~7941 SELF <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL <br /> <br />~-ORM It MC 15'56 REV 6/87 OFFICE COPY <br /> <br /> <br />