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MARION COUNTY BUILDING INSPECTION <br />SENATOR 6LDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 A M. <br /> <br /> I have read and ~gree to the terms stated on the reverse side of <br /> <br />DATE: 08/08/69 TINE= 9:37;06c~ <br /> NASSET, DEAN <br /> <br />SITUS ADDRESS <br /> <br />CONSTRUCTION TYRE <br /> <br />C&TEGORY <br /> RES Z DENT 1' AL <br /> <br />OCCUPANCY <br /> <br /> 990 WASHINGTON <br />AUHSVILLE OR 97326 <br /> <br />USE Of- BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUMSVI LLE <br /> <br />UGB <br /> <br />NO <br /> <br />MAILING ADDRESS <br /> <br />PO BOX 954 <br />AUNSVILLE OR 9?225 <br />PHONE: 749-2604 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />8S <br /> <br /> SITE NUNBER: 7522 <br /> VALUATION: <br /> <br />RANGE ZONE <br /> <br />IRREG LOT CORNER <br /> NO NO <br /> <br />MAR <br /> <br />TYPE~ MECHANICAL PERNIT OR APPLICATION NO: <br /> <br />16560 <br /> <br />CONTRACTOR, NO. <br />NASSET, DEAN <br />PO BOX 954 <br />AUiVlSVILLE OR 97325 <br />PHONE: ?49-2604 <br /> <br /> ITF_Jfl <br />DOMESTIC !,,,DOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SUI:ICHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSES~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTI]~f AMOUNT <br /> 1 $?.50 <br /> $10.00 <br /> $3.84 <br /> $o,86 <br /> <br />PAYEE= NASSET, DEAN <br /> <br />$22.22 <br /> $o.oo <br />$22.22 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 17619 <br /> <br />RECEIVED BY: P8 TYPE: :IN CHECK 2: 0 <br /> <br />:',: THIS IS A VALID PER~IT $ THIS PER~IT EXPT,RES 180 DAYS :FROf4 TT~ IS.SUE DATE. IF <br />CONSTRUCTION CF_,A,.,.~ FOR A ,pERTOD OF 180 DA,Y,~,,. OR ,,IF CONSTRUCTION FAILE~ TO I~¢EET ALL <br />R~Qi~IRE~,iENT8 OF STATE LA~ AND ~ON COUNTY BUILDING AND ZONIN~ ORDINANCES, THIS PE~IT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: EXISTING [4OODSTOVE <br /> <br />DONALD E. [NOODLEY, I~IARION COtJNTY BUILDING OFFICIAL / BY <br /> <br />~ORM~cMCi5B6 14EU 11~8 OPFiC~, COPY <br /> <br /> <br />