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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGrH 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 1 own or occupy, <br />l am e registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a reCtlstered buitder, <br />Qther ..... <br />I nave read end agree fo the terms stated on the reverse side of <br />this ¢ooument <br /> <br />°w~Dy41' E ,' 0A/24/91 <br /> <br />S~TUS ~,C, UReSS0GDEN; EiE~RGIA <br /> <br /> 490 PEtJYt&R <br />AUI~;SV I LLE <br /> <br />('~8~A'r~UrTfON' TYP~; (OCCUPANCY: RgE. 1BEN'f ,[.AL <br />~V[ LLE NO Nd 0F BEDROOMS <br /> <br />MAILING ADORESS: <br /> <br />PHONE <br /> <br />SUBDIVISION; <br /> <br />SiTE NUIVIBER: 12791 <br /> <br />pr~R~li'r OR APPLICATICN NO: 31'141 <br /> <br />PHONE: 749-3913 <br /> <br /> I'rEr4 <br />OOf~PJtS'f[C NOOO 8'lOVE <br />MECHANICAL BA~E FEE <br />MECHANICAL ~TA'FE <br /> <br />PAYEE~ C~DE~I, G~'OREilA <br />RECEIVED BY: C~2 <br /> <br />r-,~ANTI'f'Y AI'4OUNT <br /> 1 <br /> $10,00 <br /> $0.88 <br /> <br />')'HI3iRECEiPT <br /> <br /> 8AL/~CE DUE : <br /> <br /> INVOICE NO: <br /> tYPE= IN CHECK <br /> <br />$18.38 <br /> $o.oo <br /> <br />$0,00 <br /> <br />0 <br /> <br /> TH s zs ^ v _m DATE. <br />CONSTRUCTION ~E~ FOR A' PER$OD:.O~= .1:80::DAYS, :OR CONSTRUCTION ~AILS TO ~E-E~T ALL <br />RE~Ui~TS OF ~TATE ~ AND i~AR[CI~ COL~TY I~JILDIN~. AND ZONIN~ ORDINANCES, THIS <br />~HALL BECOME NULL AND VOID. <br /> <br />RENLARK~.- H(7~D STOV~ <br /> <br />DONALD E. ~ICY3OLEY, MARION COUNTY 8UILDINf~ OFFiCiAL <br /> <br />OFFICE COPY <br /> <br /> <br />