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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 />~ am performing work on a property I own or occupy. //Y"I .,~¢ / ,~..,.':l .~'~/~, //"~,~'.~-~ ~ <br /> <br />10/15/91 'liME: 1.2;20:55 <br /> <br />CLEVELAND, ALLAN <br /> <br /> 8933 ~HAN S(~ARE RO <br />AUt~SVtLLE OR <br /> <br />"AX LOT: <br /> <br />CATEGORY: <br /> RES 10EN [ <br />©GOUPANCY: <br /> <br />OCcuPANt LOAD: <br /> <br /> PHONE: 581-2606 <br />LOT DLOGK; <br /> <br /> j SITE NUMBER; 14574 <br /> . VALUAT ION .* <br />!SECTION: I TOWNSHIP; j RANGE: i ~NE: MAP: <br /> <br /> NO <br /> <br />'IYPE: MECHANICAL <br /> <br />CONIRACIOR, NO. <br />CLEVELAND, ALLAN <br /> <br />PERMIT OR APPLICATION NO: 36137 <br /> <br />PHONE: 581-2606 <br /> <br /> ITEM <br />DONES'[IC WOOD STOVE <br />MECHANICAL BA.~E FEE <br />ME~:i/~ICAL STATE :~JRCHARGE <br /> <br />PAYEE; ,~, ~ <br />REJCEIVEO BY: Cb <br /> <br />C,~JAN'I'II'Y A~vl(~dN'l' <br /> ~ $? _so <br /> $10.00 <br /> $0.88 <br /> <br />I'OTAL. ASSESSSD FEES <br />PREVIOUS Rr-'.YCEi PTS <br />THiS RECEIPT <br /> <br />$18.38 <br /> $0.00 <br /> <br />BALANCE 0UE $0.00 <br /> <br />RECEIPT' NO: 38065 <br />TYPE: OK CHECK ~ 2873 <br /> <br />* THIS IS A VALID PIBR~IT,* TH~S, PE~IT:EXPIRE~ 180 DAY~ FRO~ ITS I~E ~TE. IF <br />~ST~CTi~ C~ FOR A'P~[OO OF ]80 ~, :OR [F ~T~CTI~ FAI~ TO ME~T ALL <br />R~IR~TS OF STATE ~ ~D ~[~'~TY 8UILO[~ ~O Z~ING ORDIN~C~, THI~ ~ll' <br />~ALL 8~ NULL ~D ~IO., <br /> <br />RFJ,4ARK$: RE:NEW PER~VllT ~ 84-1'793 FOR~ R~9022 <br /> <br />[TONALD E. ~30OLEY, MARION Cv3.JNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MD 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />