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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 />OAf~; 02/08/91 I,i, ME; 10:18;04. <br /> f,',GAN, O[ANA <br /> <br />5ITU5 ADDRESS <br /> <br />TAX LOT CATEGORY <br />CONSTRUC'RON TYPE OCCUPANCY <br /> <br /> 69?5 AUfvlSVILL,c' HWY SE <br />'.sUMSVI LLE OR 9'f325 <br /> <br />USE OF BUILDING <br /> <br />Iv~ARiON COUNiY : <br /> NO Of- <br /> <br />SUBDIVISION <br /> <br /> PHONE: 3~'4-0228 <br /> <br />I CT BI OCK SECTION TOWNSHIP <br /> <br /> 5IIB NUMBER: 12255 <br /> VALUATION: <br /> <br />RANGE ZONE <br /> <br />MAP <br /> <br /> IRREG LOT CORNER <br />AC NO NO <br /> <br />TYPE: P~ECHANiCAL PERMf¥ OR APPLICAfiON NO: <br /> <br />30265 <br /> <br />CON l RAC IOR, <br />~GAN, O[ANA <br /> <br />PHONE: <br /> <br />OOM~IIC ~OOD 5TOV~ <br />MECHANICAL B~,SE P~E <br />MECHANICAL SfAI~ SURCHARGb <br /> <br />PRE¥IOUS RECEIP]S <br />]Hi5 R~O~IP'l <br /> <br />$18,38 <br /> $o.oo <br /> <br />BALANCE <br /> <br /> PAYE. b: bGAN, O,{AN~, RECEiPY NO; <br /> R~C~,-,fYg[) BY; F~ fYPE: CA CH~CK ~: <br /> <br />~ ~Hi8 IS A VALID PE~iT * THiS PE~iT ~PIR~ 180 DA~ F~ ITS I~E DATE. IF <br />~ST~CTI~ C~ FOR A PERIOD OF 180 ~, OR IF ~s"r~cTI~ FAIL5 TO MEET ALL <br />REdiReCTS OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~iNG ORDiN~C~, THIS PEril <br />~ALL BEdE NULL ~D VOID. <br /> <br />R~MARK~ WOOOSfOVE R~3780 <br /> <br />~.YJNALD E_ WOODLEY, IVlARiL)N COUN'IY BUILDING OPPiCiAL / BY <br /> <br />FORM # MC 15-56 RElY 4/90 OFFICE COPY <br /> <br /> <br />