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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::00 - 430 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />MACf.~J,b-EN, M A <br /> <br />SITUS ADDRESS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> T^X LOT <br /> <br />CATEGORY <br /> <br />OCCLIPANCY <br /> <br />RESiDENlJ&L <br /> <br /> 12985 Iv~PLE LEAF Cf NE <br />AURORA OR 97002 <br /> <br />CONTRACT CITY UGB <br />t4ARION COUN i Y NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF RFDR00MS <br /> <br />MAIl,lNG ADr~RPSS <br /> <br /> 5Ar4E <br /> <br /> PH(,)Nf-: <br /> <br />LO~ BLOCK SECTION TOWNSHIP <br /> 1 2 22 45 <br /> <br /> 9- 5 AC <br /> <br />IYPE: ~ECHANICAL PERMI f OR APPLICAFION NO; <br /> <br />SUBDI¥1SION <br /> <br />MAPLE LEAf; ES~ATb~ <br /> <br />SLIP, NUMBER: 9849 <br />VALUA f ION: <br /> <br /> lW EFU b <br /> NO NO <br /> <br />35482 <br /> <br />CONI RAC f OR, NO, <br />flACQCJEEN, M A <br />5A,IVlE <br /> <br />PHONE: 6?8-5240 <br /> <br />DONgSfiC WOOD SfOVE <br /> <br />ME[~ANiCAL ~fAfE ~JRCHARGE <br /> <br />QUANIiTY A,MOUNI <br /> $7,50 <br /> <br />IOIAL ASSE~ED FEES <br />RRE~'iOU~ RECEIPf'S <br />7HIS REC~IPf <br /> <br />$18.38 <br /> $o,0o <br />$~8,38 <br /> <br />BAL,~'4CE 0UP <br /> <br /> PAYEE: MACQUEEN, M A RECEIPi NO: 3?394 <br /> RECEIVED BY: ~1 [YPE: CK CHECK ~: 2935 <br /> <br />~ TH~ ~S A VALID PEi;~*~I~T * TH~S PERf, I~T EXPZRE~ 180 f.)AY8 FROf4 ~TS ~E ~TE. iF <br />~ST~CTI~ C~ ~R A ~iOD OF 180 OA~, OR ~F ~T~CTi~ FAI~ TO ~ ALL <br />~IR~ OF STATE ~ ~D~RI~ ~NTY 8UI~ING ~O Z~ING ORDiN~C~. ?HIS PE~iT <br />~ALL 8~ NULL ~D ~iO. <br /> <br />REMARKSt WOOBSf'OVE iN BARN/ E)<ISFING R~2935 <br /> <br />DONALD E. WOOOgbY, MARION COUNTY BUILDING OPFICiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />