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MARION COUNTY BUILDI~NG INSPECTION <br />SENATOF~ BLt3G~ 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 />30/0t/91 'f ,[IvIE: 18:38:10 <br />H.'[ LL~5 ~ YVONNE <br /> <br /> q85 GUYK,4ORE A'OA0 <br />[)rET'ROi f OR 9734-2 <br /> <br />USC OF BUILDING: <br /> <br /> PO BOX 485 <br /> DE'f'RO I 'r <br /> PHONE: 854--3,~-4-1 <br /> <br />TAX LOT: !CATEGORY: <br />CONSTRUCTION YY~E: i OCCUPANCY: <br /> <br />CONTRACT CITY; tJ~B: OCCUPANT LOAD: <br />Oa'¥'RO,t. r' i NO , <br /> NO 0F 8£DR00M$: <br /> <br />RESf (:)~N fi,-& <br /> <br />VALUATION: <br /> <br />' AREA~ UNITS: <br /> <br />,R~EG, LOT: NO CO'NE%0 <br /> <br />IYPE: MECHANICAL PEP, tr4i'f' OR APPLiCATiON NO: <br /> <br />35838 <br /> <br />CfJN'I'RACI'OR, NO. <br />HILLS, YVONNE <br />PO BOX 453 <br />DEf'~)IT <br /> <br />f,)ONES'ric m/toDD STOVE <br />~ECHANICAL BA,~E FEE <br />I~ECHANZCAL STATE ,SU~C~ARFJE <br /> <br />QUANTZ~Y AIvIOUN~ <br /> $'~,50 <br /> <br /> $0,8; <br /> <br />TOTAL ASSE~ED FEES <br />PREYZOU8 RECE~P'rS <br />TH]S RECEiP'T' <br /> <br />$18_38 <br /> $0,0O <br />$18,38 <br /> <br />BALANCE 0U~ $0_ 00 <br /> <br />INVOICE NO: 3??53 <br />TYPE; JN CHECK ~: 0 <br /> <br />PAYEE: HILLS, YVONNE <br />RECEJ[.VED BY: <br /> <br /> * THIS IS A VALID PF.J~qiT <br />~ST~CTI~ C~ ~R A ~R[OD ~ 180:~;'~:[F ~T~CT/~ FAZ~ TO ~EET ALL <br />~R~TS OF ~TATE <br />~ALL BEdE NULL ~D VOiD <br /> <br /> RE~ARKS; EX[~'I'ZNG ~ <br /> <br /> DONALD ~, ~ODL6Y, ~AR[~ COUN'f'Y ~UiLD[NG OP'F[CZAL / BY ...................................................................... <br /> <br />FORM # MC 15,56 REV. 4/90 OF FICE COPY <br /> <br /> <br />