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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 $88-5147 <br />lamporformingwort~onaproportylocmoroecup~OOOE'A-PHONE430~M '800AM' <br />cfi ama registereda re~lmter edbulJderbUdder OR ~ i the authorized r~presentative SIGNATURE OF APPLICANT:~' ~:¢'~,'-/.~ ~.-~,'. r ~ _~- <br /> _. <br /> <br />08/09/89 TIME: 10:57:58a <br /> MX LOT CATEG©R¥ <br />TRUMBULL, LARRY <br /> <br />RESIDENTIAL <br /> <br />9068 SNODDY DR SE CONTR^OTCITY UGB <br />~,UMSVI LLE OR 9?325 <br />USE 0¢ 8UILDIN6 MARION COUNTY NO <br /> <br />PHONEt 749-1372 <br /> 10 <br /> <br />10.0000 <br /> <br /> SITE NUMBER: 8595 <br /> VALUAT I ON: <br /> <br />9S 2W EFU <br />AC NO NO <br /> <br />MAP <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />TRUMBULL, LARRY <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />18OOO <br /> <br />PHONE: 749-1372 <br /> <br /> ITEM <br />DOMESTIC RANGE HOOD <br />DOMESTIC WOOD STOVE <br />DOM E)<HST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEEt TRUMBULL, LARRY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $4-50 <br />1 $7.50 <br />I $3.00 <br /> $10,00 <br /> ~3_8A <br /> 1_25 <br /> <br />$30-09 <br /> $0,00 <br />$30,09 <br /> <br />BALANCE DUE $0,00 <br /> <br /> RECEIPT NO: 19111 <br />RECEIVED BY: PR TYPE: OK CHECK ~: 10362 <br />:¢ THIS IS A VALID PERi'lIT * TH;IS PER~IT 1~4PIRES 180 DAYS F~ ITS I~E DATE. IF <br />~ST~OTI~ C~ FOR A PER~OD OF 180 ~, OR IF ~ST~CTI~ FAILS TO NE~ ALL <br />REdIReCTS OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDIN~C~. ~IS PE~IT <br />~ALL BEdE NULL ~D VOID. <br /> <br />REMARKS; 1-I. NS, 1-EXHST PN, I~P,H R~2200 <br /> <br />DONALD E. WDODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />"O~M,;'VC,S-~e R~ ,,'es OFFICE COPY <br /> <br /> <br />