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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 P,M. - 8:00 A,M, <br /> <br />I am pe orr n9wo kurta property l own o~' occupy. . <br />L am a,registered builder OR ( ) the authorized representabve SIGNATURE OF APPLICANT <br />of a regls~ered builder, <br />The work will be performed by a registerod builder. <br /> <br />o~E: 11/07/89 TINE: 8:20:88a T^XLOT: <br /> HUBER, AFC'lIN R. <br /> <br />880 ~[N ST CONTRACT CITY: UeB; <br />AU~Vi LLE OR 9?325 <br />USE O~ SU,'O~: .AU~VILLE NO <br /> <br /> SANE <br /> <br /> PHONE; <br /> <br />LOT: <br /> <br />~4LOGK: SECTIONI TOWNSHIP: <br /> <br />SITE NUMBER: 8?79 <br />VALUATION: <br /> <br />WIDTH: DEPTH: AREA: UNITS: <br /> <br />IRREG. LOT; CORNER: <br /> NO NO <br /> <br />CATEGOHY: <br /> <br /> RES1 DENT I AL <br /> <br />MAP: <br /> <br />TYPE; MECHANICAL <br /> <br />CONTRACTOR ~ NO. <br />HUBER, ARNIN R. <br /> <br />PHONE: <br /> <br /> ITF_,J~I <br />DOf4ESTIC HOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET ?¢JROHARGE -ZONE 8 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: HUSER, Afl, lIN R. <br /> <br />PER,lIT OR APPLICATZON NO: <br /> <br />20080 <br /> <br />TOTAL AS~E'S~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />OUANTITY AMOUNT <br /> 1 $7.50 <br /> $10.00 <br /> $3.84 <br /> $0.88 <br /> <br />$22_22 <br /> $0.00 <br />$22_22 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 21316 <br /> <br />RECEIVED BY; PR TYPE: CK CHECK ~: 1905 <br /> <br />* THIS IS A VALID PERNiT * THIS PEF~IIT E}(PIRI~ 180 DAYS FROM ITS ISSUE DATE. IF <br />~ST~CTI~ C~ FOR A PERIOD OF 180 ~, OR IF ~ST~CTI~ FAI~ TO ME~ ALL <br />R~IR~ OF STATE ~ ~D ~RI~ ~N~ ~ILDING ~D Z~ING ORDIN~C~, ~IS PE~IT <br />~ALL 8~E NULL ~D ~ID. <br /> <br />~ALD E- ~DLEY, MARI~ ~NTY BUILDING OFFICIAL / 8 <br /> <br />OFFICE COPY <br /> <br /> <br />