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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:o0 - 4'30 <br />24 HOUR CODE-A.PHONE:: 588-7904 <br /> <br />Other <br /> <br />FAUfH, ~'ZRA & Lrr..SSA <br /> <br />RE~IDENIiAL <br /> <br /> 8033 MiLL CREEK RD SE <br />AUI~SViLLE OR 97325 <br /> <br />I~IAR i r.,)N Cf.]UN 1 Y NO <br /> <br />SUBDIVISION <br /> <br />~LIZABEYH PYELL :399-9631 <br /> <br />,~I I'E NUIV~ER: 10292 <br />VALUA r i ~ .* <br /> <br />MAP <br /> <br />NO NO <br /> <br />r,,,.., <br /> <br />TYPE: NECHANICAL PEf';~lIf OR APPLiCATiON NO~ <br /> <br />24442 <br /> <br />CON'[RACTOR. NO. <br />FAUTH, EZRA& L.rr;BSA <br />~ CON1RAC1 HOLDER <br />ELIZABETH PYELL :399-9631 <br />PHONE: <br /> <br />~.:.~Es'ric ~OOO SfOVE <br />~EC,~ANiCAL BA~E FEE <br />FLEEr SU,k'C~ARGE --ZONE 3 <br />MECHANICAL STA~E ~JRCHARGE <br /> <br /> QUANTiIY AF~OUNf <br />~ 1 $?.50 <br /> $10.00 <br />i~ $3.84 <br /> $0.88 <br /> <br />TOTAL A.%~E~SEO FEES <br />PREViCU$ RECEIPlS <br />'fHl~ RECEIPT <br /> <br />$22.22 <br /> <br />$22.22 <br /> <br />BALANCE DUE $0,00 <br /> <br /> '-PAYEE; ELIZABEfH PYELL ~ RECEtpI' NO: 25888 <br /> RECE1VED BY; pb2 ...................................................... ~! lYRE: CK CHECK ~; 328 <br /> <br />~T~I~ C~ ~ A ~l~ OF 180 ~. OR IF ~T~CTI~ FAI~ TO ~T ALL <br /> <br />\DONALD E. WOODLEY~ ~RION COJN]y BUILDING OFFICIAL <br /> <br /> OFFICE COPY <br />FORM # M6 15-56 REV 4/90 <br /> <br /> <br />