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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STP-,.EET <br /> SALEM, OREGOr~ 97301 <br /> <br /> PHONE: 588-S147 8:00 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br /> DATE: 10/01/91 <br />OWNE~: <br /> KE'I'CHUM, LLOYD & VERSA <br /> <br /> 2~0 OETROYt' RD <br />DETROIT <br /> <br />USE OF SUILOISG: <br /> <br />' SOBDIVISION: <br /> <br />PO 8OX 453 <br />OE'f'ROi'f' <br />PHONE: 854-3559 <br /> <br />LOT: : BLOCKL <br /> <br />ASEA. <br /> <br /> SITE NUI"4B ER t 14430 <br /> VALUA'f' i ON: <br />i'rO~si~P: ~i¥~:' ~. <br /> <br /> , NO ~ NO <br /> <br />TYPE: MEC~ANZCAL PERMIT OR APPLiCA'r~ON NO: <br /> <br />CON'I'RACI'OR, <br />KE'I'C~UM, LLOYD & VERNA <br /> BOX <br />BE'FRO~'T <br />PHON~: 854-3559 <br /> <br /> ITEM <br />LYOMES'f'IC NOOD ~'f'OVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />3580? <br /> <br />QUAN'TTTY <br /> 1 $7.50 <br /> <br /> $0.88 <br /> <br />I'O~ALAS~E,5;SEDFEES $18,38 <br /> RECE[P'TS $18,38 <br />'T'H'iSRECEiP:T: $0,00 <br /> <br />BALANCE DUE <br /> <br />$0.00 <br /> <br />PAYEEt tNVOIC~ NO: <br />RECEIVED BY; DI~2 ................................................. ~: ............................................. 'tYPE: CHECK ~: O <br /> <br /> THIS iS A VALID PER,lIT ~ THIS PERI)II'Ti.I~xRERE~; 150: D, AyS.Fi~ ITS I~6 DATE. [F <br />¢~Sf~OfI~ C~ FOR A PER~OD OF ~:~80 B~:; OR IF ~T~CTI~ FAI~ TO ~EET ALL <br />R~IR~T$ OF STATE ~ ~O ~Ri~ ~NTY ~ILO[~ ~g Z~IN60RDiN~C~, THIS ~IT <br /> <br />REMARKS; EXISTING W~ <br />DONALD ~. ~IOODLEY, r4ARION COUN1'Y ~UtLDING OF'P.ICIAL / 8Y .................................................... ~............ <br /> <br />~o~ ~ uc ls.~ n~v. ,v~o OFFICE COPY <br /> <br /> <br />