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MARION COUNTY BUILDING INSPECTION <br />SENATOR BL. DG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P M - 800 AM <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> SATE <br /> <br />~fl~: 11/24/99 TIME: 12:46:49 <br /> <br />SITUS AsD~ARD~:¢~, TRACY & ALLAN <br /> <br />640 DE~R <br /> <br /> TAX LOT <br /> CONSTRUCTION TYPE <br /> CONTRACT CiTY <br /> <br />AUM~VILLE <br /> <br />UGS <br /> <br /> NO <br /> <br />CATEGORY <br /> <br />OCCURANCY RESIDENTIAL <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEUROUMS <br /> <br />P.O. BOX 947 <br />AUr,~VILLE, OR 8?325 <br />PHONE: 749-1348 <br />LOT BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br />SITE NUtCBER: 8913 <br />¢¢A[rCAT t ON: zomE <br /> <br />NO NO <br /> <br />TYPE: MECHANICAL PEF~4IT OR APPLICATION NO** <br /> <br />CONTRACTOR, NO. <br />RICHARI~CDN, TRAOY & ALLAN <br />P.O. 8OX 947 <br />AUMSVILLE, OR 97325 <br />PHONE= 749-1346 <br /> <br /> ITEM <br />DOMESTIC HOOD STOVE <br />MECHANICAL B~E FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEEt RICHARDSON, TRACY & ALLAN <br />RECEIVED BY: PR <br /> <br />20425 <br /> <br />QUANTITY ANOUNT <br /> 1 $7.50 <br /> $10.00 <br /> ~3.84 <br /> 0.88 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />T~I$ RECEIPT <br /> <br />$22.22 <br /> $0.0o <br />$22.22 <br /> <br />'BALANCE E~JE $0.00 <br /> <br />INVOICE NO: 21672 <br />TYPE: CA CHECK ~: 0 <br /> <br /> THIS IS A VALID PERI,lIT · THIS PERMIT EX~IRE8 180 DAYS FROM ITS I~E DATE. <br />~T~T[~ C~ ~R A PERIOD OF 180 ~, OR IF ~CTI~ FAI~ TO ME~ ALL <br />R~IR~ OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDiNate. ~IS PE~IT <br />~ALL B~E NULL ~D <br /> <br /> <br />