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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: 588-514~' 8:08- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am perfo.ming work on a property I own or occupy, <br /> I am a reglJered builder OR the authorized represen a ive <br /> of a registered builder. <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the term~ stated on the reverse side of <br /> this document. <br /> <br /> DA'1'E ~ 10/02/9'1 TIME: <br />OWNER: <br /> GARR [GUEB, JAMES <br /> <br />91'r US Al) PRE 5,~ <br /> <br />SIGNATURg OF APPLICANT: <br /> DATE'. <br /> <br /> TAX LOT: <br /> <br />i C0NSTRUCTIO',~ ~:YPE: <br /> <br />CATEGORY: <br /> <br />GOCUPANC¥: <br /> <br />,RESt E)ENT IAI <br /> <br /> 1 15 MACKEY LANE <br />D~: T RD i ] <br /> <br />(]}R ~73~ CONTi~ACT CITYZ <br /> :OETRO,t T' NO <br /> <br />iOCCUPANT LOAD: <br /> <br />S0~PlVlSlON: <br /> MACKEY <br /> <br />399-884? <br /> <br />LOT: <br /> <br />SECTION: TOWNSHIP; <br /> <br />SiTE NUMBER: 14406 <br />VALUAI'ION: <br />; RA~i ;'zcN~i :MAP; <br /> <br />NO! NO <br /> <br /> IYPE: MECH/NNiCAL <br /> <br />CONTRACI'OR~ NO_ <br />GARRiG~, JAMES <br /> <br />RERMif' OR APPLICATION NO: <br /> <br />35?54 <br /> <br />PHC)NE: 399-884?' <br /> <br /> i f EM <br />r.X~ESTIC WOOD STOVE <br />MECHANICAL eASE FEE <br />MECHANICAL ~TA'f'E SURCHARGE <br /> <br />PAYEE: GARRIGUE~, JAMES <br /> <br />QUANTITY AMOUNf <br /> ] $?,50 <br /> $10_00 <br /> <br />RECEIVED BY: OM2 <br /> <br />TOTAL A3r&S~ED FEES <br />PREVIOUS RECEIPI'~ $0-00 <br />THIS RECEIPT $18.38 <br />SALANCE OUE $0_00 <br /> <br />iNVOiCE NO: 3?658 <br />TYPE; 1N CHECK ~: 0 <br /> <br />* THI~ l~ A VALID PIBR~IT * THIS I~E~iT E~PiRE~ 180 OAY~ FRO~ ITS I,~EAJE BATE. IF <br />COnSTRUCTiON CEASES FOR A. PERIOD OF 180.DAY~,OR:IEC(]NSTRUCTION FAILS TO ~E~T ALL <br />I~IRE~T~ OF STATE ZONING ORDINANCES. THiS PERi, IT <br />~5HALL BECOME NULL AND VOID. <br /> <br />REMARKS: EXISTING NS <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUiLDiNG OFFICIAL / 8Y <br /> <br />FORM ~/MC 15-56 REV, 4/90 OFFICE COPY <br /> <br /> <br />