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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:: 589-514'7 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br />DALE: 10/02/90 TIME: 12:58:05 <br /> ~i LLIAMS, MAX <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> 208~0586 <br /> <br /> 575 1Sf' Sf N <br />AUIv~VILLE OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUMSV i LLE <br /> <br />NO <br /> <br />PO BOX 351 <br />AUMSViLLE OR 97325 <br />PHONE: 749-1043 <br /> <br />LOT BLOCK <br /> <br />2.14 297 <br /> <br />SECTION TOWN,~HIP <br />25 <br />AREA UNIT~ <br /> 63558. <br /> <br />~i I~ <br /> VALUAT iON: <br /> <br /> NO <br /> <br />GATbGOHY <br /> Rb.~i DP.N I IAL <br /> <br />5956 <br />RM 5 1 <br /> <br />TYPE: MEO-I~NiCAL PEF,~NIIF OR APPLICAfION NO: <br /> <br />C'ONIf~A.C'fOR, NO. 2347 <br />SfAYION REFRIGEBA'fION <br />207 N 3RD <br />Sf'AY~ON. ORESON 97383 <br />P'HONE~ 769-3495 <br /> <br /> 1 <br />~ CXJNN~C'I ION <br />FOR(3 AiR FURN lO0000 BIU OR L~ <br />MECHANICAL BA~E FEE <br /> <br />MECHANICAL 8IA[~ <br /> <br />PAYEE: 5IAY'FON REFRiGERA['ION <br />RECEIVED ~Y,. ~ <br /> <br />27691 <br /> <br />QUANflJY AMOUNI <br />1 $2.00 <br />1 $6.00 <br /> <br /> $3.84 <br /> <br />TOIAL ~ED F~ <br />PRE¥1OU~ R~CEIP'TS <br />IHi$ RECEiP[ <br /> <br />$22- <br /> $o.oo <br />$22.74 <br /> <br />BALANCE I.;UE $0.09 <br /> <br />iNVOICE NO: 29286 <br />[YPE: CK C~E~K ~z 19197 <br /> <br /> THiS IS A VALID PE~IT · THIS PERMIT EXPIR~ 180 II~YS FROM ITS i~,~UE DATE. IF <br />CONSFRUOFJON CEASE FOR A PERIOD OF 180 DAY~, OR IF ~8TBC"Fi~ FAILS TO MEET ALL <br />REdiReCTS OF ~'i'ATE ~O~RI~ G~NTY BUILDING ~D Z~iN6 ORDINANCe, THIS <br />~ALL BEC~E NULL ~D VOID. <br /> <br />RE~RKS: GAS FURN R~2955 <br /> <br />DONALD ~. N~ODLEY, MARION COUNf'Y BUILDING OFFICIAL / BY <br /> <br /> OFF{CE COPY <br />FORM # MC 15-58 REV 4/90 <br /> <br /> <br />