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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />I a~) pertormln9 work on a property I own or occupy <br />I 8m aregrstered bullderORt itheauthonzedrepresen~aDve <br />of ~ replstered builder, <br />The work will be performed by a reglsterod builder <br />Other <br /> <br />I have read and ag ee to the terms stated on the roverse s~de of <br /> <br />OWBLa~'E: 10/18/90 <br /> <br />SITUS ADDRESS <br /> <br />TAX LOT CATF. GOHY <br />CONSTRUCTION TYPE OCC[.jPAN L.Y <br /> <br />RESID~N[IAL <br /> <br /> 588 HASHING'tON Sf <br /> AUIv~V[LLE <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br />AUMSViLLE NO NO OF DFDROOMS <br /> <br />LOT BLOCK <br /> <br />WIDTH DEPTH <br /> <br /> SIIE NUiVBER: <br /> VALUA'I I ON: <br /> <br />AREA UNITS IRREG LOT CORNER <br /> NO NO <br /> <br />7152 <br /> <br />MAp <br /> <br />YYPE: M~HAN ICAL <br /> <br />(;ON I RAC FOR , NO . <br />8RAAT F,;SN, JOANNa <br />SAME <br /> <br />PHONEt 't49~2589 <br /> <br /> iIF_.~I <br /> <br />MECHANICAL BASE FEE <br />FLEE[ SURCHARGE -ZONE 3 <br />~EO~ANICAL SiA]E <br /> <br />PAYEE: .~Agl~.~, <br />RECEIVED BY: CL <br /> <br />PERMIT OR APPLICA"fION NO: <br /> <br />QUANIIiY <br /> <br /> $3,84 <br /> <br />f'OTAL A,5-S~ED PEES <br />PREVIOUS RECEIPTS <br />'rHI8 RECEIPT <br /> <br />$22.22 <br /> $o,oo <br />$22.22 <br /> <br />BALANCE DUE $0.00 <br /> <br />iNVOIC~ NO: 29?45 <br />TYPE: iN CHECK ~: 0 <br /> <br />* THiS I$ A VALID PEI;~liT * THI~ PERMIT EXPIRES 180 DAY~ FRON i1'S i~E OATE. IF' <br />CONSTRUCTiON CEASES FOR A PERIOD OF 180 DAYS, OR IF CONs"rRUCTION FAILS lO MEET ALL <br />REQUIREMENTS OF STATE LA~ AND MARION COUNTY BUILDING AND ZONING ORDINANCE,5, THIS PERMIIr <br />.SHALL BECOME NULL AND VOID. <br /> <br />REN~ARKS: ~ <br /> <br />LYJNALD E. ~OfJLEY, MARiON COUNfY BUILDING OPPICiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />