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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 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other___ <br /> <br />ow~A f'E: 05/01/91 liME: <br /> <br /> KELLY. FRANCIS <br />S,TUS ^DDn~SS <br /> <br />14.39:40 <br /> <br /> 90?3 ~AH .~UARE RO <br /> AU~$Vi LLE OR <br />USE OF BUILDING <br /> <br />9?325 <br /> <br />CONTRACT CITY UGB OCCUPANT LOAD <br />~r~kRiON C~NlY NO ' NO 0; <br /> <br /> ,SA.~IE <br /> <br /> PHONE: 74g-3921 Sll"£ NUt4BER= 12858 <br />LOT Bt OCK ¢ECTION TOWNSHIP R,~N¢~LUA"['"' [ON: ZONE <br /> <br />NO · NO <br /> <br />MAp <br /> <br />TYPE: I~IECHAN ICAL <br /> <br />C~NTRACIOR, NO. <br />KELLY, FRANCIS <br />SANE <br /> <br />PHONE: 749-3921 <br /> <br />gY,:~E'~rIc WOOD SfOVE <br />mECHANICAL BA~E FEE <br />IvlECHANiCAL SrATE SURCHARGE <br /> <br />PERfV~II' OR APPLICATION NO: <br /> <br />31901 <br /> <br />"tOTAL AS,~ED FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUAN [' i TY A~'4OUN f <br /> 1 $?. 50 <br /> $1o.oo <br /> $0.88 <br /> <br />$18.38 <br /> So.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: KELLY,. FRANC£~ RECEIPT NO: 3357'1 <br /> RP..~CEIVED BY: PB TYPE+* CA CHECK ~= 0 <br /> <br />~: THI~ 18 A VALID PE:RRiT :*: '1-H18 PERIRIT EXPIRES 180 DAYS FRO~ IT~ iSSUE DATE. IF <br />CONSTRUCTION CEA,SI~ FOR A PERtO0 OF 180 DAYS. OR [I:= CONSTRUCT[ON FA[LE, TO ~.-Et ALL <br />REQUI~T'~ OF ~STATE LAb~ At,iD NA~I:ON COJNTY ~UiLDiN~ AND ZONING ORDINANCES, THIS PER~IT <br />~I..IALL BECOME NULL AND VOIDo <br /> h <br /> <br />¢OR~ * ~c ~ ss~ R~_V 4/~0 OFFICE COPY <br /> <br /> <br />