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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 PM. - 8:00 A.M. <br /> <br />of e registered builder. <br /> <br />Otller <br /> <br />document, <br /> <br />~IGNATURE OF APPLICANT; ,, <br /> DATE'. <br /> <br />°W"~TE: 05,/03/90 <br /> <br />S~TUS ACCRESS: HANPTON, JOE <br /> <br />TIME: 9t23=59 <br /> <br /> ?75 MICHAEL NAY <br />AUNSVI LLE OR 977225 <br /> <br /> CONTRACT CITY: <br /> <br />AU~VILLE <br /> <br />NO <br /> <br />MAIUNG ^DDRESS; <br /> <br />SUBOJVI$1ON; <br /> <br />FO BOX ?8'/ <br />AUMSVILLE OR 97325 <br />PHCHE: ?49-2450 <br /> <br />SECTION: ~WNSNfP; <br /> <br /> PARCEL 1 <br /> <br /> SITE NU~ER; <br />RANGEVALUAT ION ~ON~: <br /> <br />160 432 <br /> <br />88 IRREG, ~=OT; 2W CORNER: <br />SF YES <br /> <br />RESIDENTIAL <br /> <br />99772 <br /> MAP: <br /> <br /> RS 51 <br />NO <br /> <br />TYPE: MECHANICAL PEI:~4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO+ 234? <br />STAYTON REFRIGERATION <br />207 N 3RD <br />STAYTCN, OREGCN 97383 <br />PHONE: 769-3495 <br /> <br /> ITET~ <br />HEAT PUi~Ip <br />DOMESTIC RANGE HOOD <br />DO~ E){HST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET ~JRCHARGE -ZONE $ <br />D1ECHANICAL STATE SURCHARGE <br /> <br />PAYEE <br /> <br />.TOTAL ASSESSED FEES <br />PREVIOUs' RECEIPTS <br />THIS RECEIPT <br /> <br />(~XJANTITY AM(TJNT <br />1 $6.00 <br />~ $4~50 <br />4 $12.00 <br /> $10,00 <br /> ~3.84 <br /> 1.53 <br /> <br />~37.97 <br /> 37.97 <br /> $o.oo <br /> <br />BA~C'E DUE $0.00 <br /> <br />INVOICE NO: <br /> <br /> RECEIVED BY: ~ TYPE: CHECK ~t: 0 <br /> <br />~IO~l ~ FOR A ~(~_',0F. 3SO' :~A_YS,..OR .IF C(3NSTRB~FI(3~I FAII..~ TO ~4EET ALL <br /> <br />REI'4ARK~: <br />IXiNALO E. {~O00C~, MARIOq O~x/NI¥ ~UILDING OFF'ICIAL / BY .................................... i ......................................... <br /> <br />¢o.~ ,, MC ~s-sa R~,~ .~ OFFICE COPY <br /> <br /> <br />