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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 />10/07/~ ............ ~T~II~IE~....~.1.~.10:3~a ........................................................................................... <br /> <br />DUNCAN, HERBERT RE~I DEN1 <br /> <br /> 10214 NISEACRE L,N~E NE <br />AURORA OR 97002 <br /> <br />- , iN?; ~F'BEDR00M$~ <br /> <br />SAME <br /> <br /> PHONE: 678-5398 SITE NU~ER: 5B~3 <br /> VALUATION: <br />LOT .......... ~ ~-~: ' SE~i~'~ ................. T~OWNSHIP'. .... ~--~ ...... ~-~-~ ..... ~F ............... <br /> <br />............ i ............................................................................. I-_ NO ..................... <br /> <br />TYPE: MECHANICAL PEF~IIT OR APPLICATION NO= 11705 <br /> <br />CONTRACTOR. NO. <br />DUNC/~, HERBERT <br />,~AME <br /> <br />PHONE= 578-5398 <br /> <br /> ITEM <br />DOMESTIC HOOD STOVE <br />MECHANICAL. BASE FEE <br />FLEET SURCHARGE -zONE 6 <br />MECHANICAL STATE SURCHARGE <br /> <br /> BALIANCE~,.£ <br /> <br />PAYEE: DUNCAN, HERBERT <br />RECEIVED BY: dm <br /> <br />~I~ C~ FOR A P~OD <br /> <br />(~XJANTITY AI~4JNT <br /> 1 $7.50 <br /> $10.00 <br /> $7.68 <br /> $0.88 <br /> <br />IEOK ~: <br /> <br />$28.06 <br /> $0+00 <br />$~6.06 <br /> <br />$0.00 <br /> <br />124@0 <br /> 0 <br /> <br /> DATE. IF <br />TO 'MEET ALL <br /> THIS PEI~4iT <br /> <br />FORM = MC ~5-Se '~V, ~/~ OFFICE COPY <br /> <br /> <br />