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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 am performg~g wosk on a property I OWl3 O¢ occupy. <br />I am a registered builder OR ) the authorized representative <br />of 8 registered builder. <br /> <br /> DATE; 07/12/88 TINE: <br />OWNER'. <br /> KLIEN & HAND <br /> <br /> 13391 LAKE'~OOD DR <br />AURORA <br /> <br />P.O. BOX 37? <br />~:)ODE~URN, OREGON 97071 <br />PHONE: 981-0101 <br /> <br />LO¥: BLOCK: <br /> <br /> i TAX LOT: CA'r~GORY: <br /> RESIDENTIAL <br /> <br />OR <br /> 970O2 <br /> <br /> r SITE NUMBER: 4~880 <br /> VA LUAT I ON: <br /> <br /> NO ! NO <br /> <br />TYPE: MECHANICAL PERI, IT OR APPLICATION NO: 9659 <br /> <br />CONTRACTOR, NO. <br />KLIEN & HAND <br />P.O. BOX 377 <br />IKOOBSURN, OREGON 97071 <br />PHONE; 981-0101 <br /> <br /> ~T,~..~.~ <br />DOf4ESTIC WOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE <br />MECHANICAL STATE SURCHARGE <br /> <br />T ' ': <br />OTAL .~:3~ E~ED'.iiF. EE~ <br />PREVIOUS:; REOE]:pTS <br />TH!S EOEI'PT '=' <br />BALANCE DUE. <br /> <br />QUANTITY AMOUNT ' <br /> 1 <br /> $10.00 <br /> ~8.98 <br /> 0.89 <br /> <br />$27.34 <br /> $0.oo <br />$27.34 <br /> <br />$0.00 <br /> <br />PAYEE: KLIEN & HAND , .;.` ~ ;,~.:~f~ECEIPT NO: 10335 <br />RECEIVE0 BY; CL ,:'.~. ',"~PE;.;: CK?:.,CHECK ~; '~2007 <br />:~ THIS IS A VALID PERMIT :~ THIS PERMIT :EXPIRES:.:ljB.0 D~,]F~>~TS I,S.SUE DATE. IF <br />~T~CTI~ C~ FOR A FAI~ TO ~E~ ALL <br />RE~IR~ OF STATE ~ ~D ~RI~ ~N~ BUIEDING~];~D Z~IN60RDIN~C~, ~IS PE~IT <br />~LL 8E~E NULL ~O VOID. i :: '. / ~': <br /> <br />RE~RKS: ]NSERT R~7990 ~ <br />D~ALD E- WOODLEY, ~R]~ C~NTY BUILDING OEF~O~¢" .............. <br /> , <br /> <br />FORM ' MC 15.56 REV G/87 OFFICE COPY <br /> <br /> <br />