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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 PM - Pc O0 A M <br /> <br /> TI <br /> <br />~AI'E: 0?/27/89 TIME: <br /> IVIONTGOMERY , D I L LARD <br /> <br /> ~ PORT ER RID <br />AU~VILLE OR <br /> <br />12:00:48p <br /> <br />97325 <br /> <br /> SQNSTRt,ISTION I'YPE <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br /> RESIDENTIA;, <br />OCCUPANCY <br /> <br />R£NTOR: OLLIE HAYE'5 - 7&9-1528 <br />PHONE ,, <br /> <br />TOWNSHIP <br /> <br />SITE NUIVfBER: ?93,4, <br />'v'4 LUAT I ON: <br />RANGE ZONE <br /> <br />WIDTH OEP'CH AREA UNITS IRREG LOT SOANER <br /> NO NO <br /> <br />TYPE: HECHANICA,. PERNIT OR APPLICATION NO: <br /> <br />17715 <br /> <br />CO, TRACTOR NO. <br />MONTGOMERY,DILLAR) <br />RENTOR: OLLIE HAYES - 749-1528 <br /> <br />PHONE: <br /> <br /> ITEM <br />B¢~ESTIC I,¢JOO STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />~ECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AF~UNT <br /> $7.5O <br /> $10.00 <br /> $3.84 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$22.22 <br /> <br />$22.22 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE; ROBERT ,JACKSON RECEIPT NO: 18S12 <br />RECEIVED BY; cl ~ TYPE: OK CHECK ~: 1745 <br />~ THIS IS A VALID PERMIT *' ~i$%~,PERglIT 'EXPIRES 180DAYS .FRON ITs I~E DATE. IF' <br />C~ST~CTZ~ C~ FOE A PER[OD:OF~,T 180 DAYS, OR [F~ST~OT~ FAZbS TO NE~ ALL <br />RE~[~TS OF STATE ~D~;~ ~ BUILDING ~O Z~[NG ORD[N~CES, ~[S PE~[T <br />SHALL 8E~E NULL ~D VO[D[ <br /> <br />RE~ARKS: NS R~7835 /~ ~ <br />DONALD E. NOODLEY, ~ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~ORM · MC 15-56 REV 11'88 OFFICE COP'/ <br /> <br /> <br />