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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. <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 am performing work on a property I own or occupy, <br /> <br />Other <br /> <br />OWNbDr~'I'E: 95/18/g0 TIME: 15:07.'13 <br /> PAYNE, ¥IRf~tL <br /> <br />TAX LOTI CATEGORY; <br />CONSTBUCT~QN TYPE; OCCUPANCY: <br /> <br />R~ [ 0~'11 AL <br /> <br /> 7223 SHAW H~Y <br />AUM~VI LLE <br /> <br />OR 97325 <br /> MARIC~ COUN:I'Y: <br /> <br />MAILING ADDREB$: <br /> <br /> PHONE: 'tA9-'2'lO'I SI'I'E NUMBER: 10213 <br /> VALUAT I ~: <br />LOT; : BLOCK: sEcTIOn; ~ +~w~sNJ~: ~ ~'~G~: , ZONE; MAP: <br /> <br /> 2N <br /> 5L AC i ~ NO NO <br /> <br />TYPE: MECHANICAL <br /> <br />CON'FRAC'FOR, NO. <br />PAYNE, V I F~G IL <br />SAME <br /> <br />PHONE: 749-2 ? 0'l <br /> <br />', 8OME~'I'iC WOOD STOVE <br /> MECHANICAL 8ABE FEE <br /> FLEET ~AJRC~ARGE ~ZONE <br /> MECHANICAL B'TAfE ~URCHARGE <br /> <br />PEF~411 OR APPLlCAI'ICN NO: 24179 <br /> <br />TOTAL ASS~ED FEES <br />PREVtOU~ RgCEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY <br /> ~ $'1.50 <br /> <br /> 3.84 <br /> 0.88 <br /> <br />$2.~ .2~, <br /> $0,oo <br /> <br /> BALANCE DUE $0_00 <br />PAYEE: PAYNE, VIRGIL R~CEiP')' NO: 25524 <br /> <br /> R~CEIVED BY: CL ........................ _;, .............. .......................... TYPE: CA CHECK ~: 0 <br />THIS IS A VALID PE~41T: ~:i:TH[s:PE~qITEXPiRE~ 180 OAY~ ~J:~ iTS I~E,~TE. iF <br />~T~CTI~ C~ ~A ~OD~ 1:80 ~. :~ IF~T~CTI~ FAI~ TO MEET ALL <br />~IR~T~ OF STATE ~o Z~[N~ ORD[N~E~, THIS PE~iT <br /> <br />REMARKS: WS r33679 /.-%f-,~ <br />~NALO E. ~¢OODLEY, fAARiONOOUNTY BUiLOiN6 OFFiCiAL / BY ...............................................................................................~ <br /> <br />OFFICE COPY <br /> <br /> <br />