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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,,.I~O. 2~5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588%147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWN~-~'IE: 10/01/gl 'riMS> <br /> <br /> ,JOHNSON, OL1VER ~ MARiE <br /> <br />2'lO FORE~]' AVE <br /> <br />PO 130X 521 <br />OE'f RO1 ~ <br />PH(,)NE: 854~-3800 <br /> <br />OR 9'7342 <br /> <br /> TAX LC)f: <br /> <br />CONSTRUCTfON TYPE;' <br /> <br />[)E'f ROI 'l ~ NO <br /> <br />"Al ~A: .......... UNITS: <br /> <br /> RE51 iggN l [ AL <br /> <br />i 0 OF 8EOR00MS: <br /> <br /> i SiTE NUIV~ER: 14426 <br />...... , ................. <br /> <br />TYPE: MEChANiCAL PERMif' OR APPLICATION NO: <br /> <br />CON'f'RACTOR, NO. <br />JOHN,~N, OLIVER <br />PO BOX 521 <br /> <br />PHONE: 954-3600 <br /> <br /> ITEM <br />DOMES'T'IC NC'OD STOVE <br />~ECHANICAL BASE FEE <br />MEChANiCAL ST'A'fE SURCHARGE <br /> <br />PAYEE: JOHNSON, OLIVER & MARIE <br /> <br />25823 <br /> <br />QUANTifY AMOUN/ <br /> $'7_ 50 <br /> <br /> $0_88 <br /> <br />TOTAL A~ESSEDFEES <br />PRE~IOUS RECEIPTS <br />THiS RECEIPT <br /> <br />$'18.38 <br /> $0. O0 <br /> <br />BALANC~ ~UE $0_ 00 <br /> <br />iNVOICE NO: <br /> <br /> 3??38 <br /> RECEIVED BY: DM2 'i;YPE: IN CHECK 1~: 0 <br /> <br />* THIS 15 A VALi0 PE~IT ~ THIS P~T :~PI~ ]80 ~ F~ ITS l~g OATE. <br />~T~Ti~ C~ FOR A ~IOD~F FAI~ TO m~ET ALL <br />R~IR~T$ OF STAT~ ~ ~:]~Ri~ ~NTY BUiLDIN~ ~D Z~ING ORDiN~C~. THI$ ~II' <br />~ALL ~E NULL ~D ~ID. : <br /> <br />REMARKS; EXiSTiNG <br /> <br />~)NAgO E. WOOOL.EY, mARiON CC~N'T'Y ~UiLDiNG OFFiCiAL / ¢Y <br /> <br />FORM # MC 15,56 REV, 47~0 OFFICE COPY <br /> <br /> <br />