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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: 588~5t47 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />DATE: 0g/25/91 TIME: ]4:15:14 <br /> F"~E L L, DALE <br /> <br />OOOUPAN~,Y; <br /> <br />RESIOENIIAL <br /> <br /> 10702 SILVER FALLS HNY <br />AUMSVJLLE OR <br /> <br />9?325 SE :, COM'~GT C~T¥, : d~B: <br /> :MARION COUNTY ! NO <br /> <br />:~OCCOPANT LOAO: <br /> <br /> PHONg: '/'4. g- 1254 <br />gOT: 8LOCK: <br /> <br /> SITE NUtV[3 ER: 14227 <br /> VALUAT iON; <br /> <br />RANGE; i ZONE: <br /> <br />'[YPE~ M~CHANICAL <br /> <br />CONTRACTOR, NO. <br />PO~ELg, DALE <br /> <br /> 'AREA: - -U~IY~: <br /> <br />PERNI'[' OR APPLZCAT~ON NO: <br /> <br />i mRE~: ~bf: : <br /> NO[ NO <br /> <br /> 35~23 <br /> <br />PHONE: 749-1254 <br /> <br /> i'rEN <br />t)OMES'fiCNOOD STOVE <br />~C~ANiCAL BASE F~E <br />~ECHANICAL STATE 5URCHARG~ <br /> <br />PAYEE: F'~OWELL. DALE <br /> <br />QUANTITY AMOUNT <br /> <br /> $10.00 <br /> $0.88 <br /> <br />TOTAL AS~[D F~$ <br /> <br /> 'R~CE~P'I' NO: <br /> <br />$18.38 <br /> $0,oo <br /> <br />3?33? <br /> <br /> RECEiVeD ~¥: O"i 'T~PE: CK CHECK ~: '/56'~ <br /> <br />~ THi~ I$ A VALID PE~IlT:~ TH~PER~IT EXJ>iEE~180 DAYSFRO~ iTS ~E~JE DATE. iF <br />~ST~i~ C~ FOR A~ P~I~ ~ 1BO'~,:OR I~ ~T~CTI~ FAi~ TO ~EET ALL <br />R~I~T~ ~ STATE ~ ~D~RI~NTY 8UILDING'~D Z~iNG ORDIN~C~, THIS <br /> <br />RPJ~IARK~: EXiSTiNG ~ R~2624 <br /> <br />DONALD E_ NOODLEY, f,!ARiON COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 1 '~-5~ REV. 4/90 OF FlOE COPY <br /> <br /> <br />