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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-$147 8:00 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />09/27/91 TIME: 9:59:49 <br />HANCOCK, .JOHN <br /> <br /> 8~28 SILVER FALLS HVCF <br />AU rcC3V 1 LLE OR <br /> <br />!TAX <br /> <br />9'1325 <br /> <br />SE <br /> <br />!' ~ONT~A~ OilY; UG¢: <br /> <br />' OCCUPANOY: <br /> <br />RES I 01~51 l ].AL. <br /> <br />Iv~R J: ON. ~O~JN'['Y i ..... No <br /> <br />VALUATION: <br /> <br />DEPTH: : AREA: ;UNITS'. ! I'~: LO~: iCORNER: <br /> I ¢ I NO ': NO <br /> <br />fYPE: MECHANICAL <br /> <br />CQNTRACfOR, NO. <br />HANCOCK, JOHN <br /> <br />PERr41'f' OR APPLiCCVFION NO; 35546 <br /> <br />PHONE: 362-4280 <br /> <br /> iTEM <br />DOMES'FtC WOOD S'f'OVE <br />MECHANICAL BASE FEE <br />ME~ANiCAL STATE SURCHARGE <br /> <br />PAYEE: HANCOCK, JOHN <br />RECEIVED BY: c-I <br /> <br />QUANTI]'Y AMOUNT <br /> $?.5o <br /> <br /> $0_88 <br /> <br />TOTAL ~ESSgD FEES $18.38 <br />:PR~¥'IOUSRECEIPTS $0.00 <br />RECEIPT <br /> <br /> $0,o0 <br /> <br />RECEIPT NO: 3?460 <br />TYPE:- CK CHECK ~: 15'f <br /> <br />~ THiS iS A VALIO PERi, IT *, ?rHIS:,PER~i[T EXP[RE~-180 DAYS FROI~ iTS iS~JE DATE. IF <br />CONSTRUCT/ON CEASES FOR A PERIOD OF 180 DAY~;: OR IF: CONSTRUCTION FAILS TO MEET ALL <br />RE(~UiREI~/T8 OF STATE ~ 8UiLDiNG'ANO :ZONING ORDINANCES, THIS PE~iT <br />5HALL 8EC:O~E NULL A,~D VOID. ' ,: : <br /> <br />OONALD E. NOODLEY, MAR~ON COUNI'Y BUIg0ING OFFICIAL / i ................................ <br /> <br />FORM # MC 15-56 REV. 4/90 OF FICE COPY <br /> <br /> <br />