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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97.3,01 <br /> <br /> PHONE:'588-5147 8;00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by a registered builder. <br /> <br /> tXA".tLCY, LiNN , <br />SH'US ADDRSSS: ~N~T~UcTIO~ ~SPEI I OCCUPANSY: <br /> <br /> 10244 MiLL CREEK ~AO SE CONTRACT CITY: ; UGB'. [OCCUPANT LOAD: <br /> <br />RESZDEBfIAL <br /> <br /> PHONE: ?~.9-1027 : ~i'I'E NUFIBBR: 14392 <br /> ~ VALUAT i ON: <br />LOT: OLBSK: i SECTION: I TOWNSHIP; ' RANGE: ! ZG'I~; , MAP; <br /> <br />WIDTH: ~EPTH: ,UNITS-- J IRREG. LOT: <br /> NO <br /> <br />TYPE: ~ECHANICAL PER~IT OR APPLICATiCN NO: <br />CC~'I'RACI'OR, NO. 234? <br /> <br />~HONE: 749-1027 <br /> <br />GA~ CONNECTION <br />MECHANICAL BA~E FEE <br />MECHANI(.IAL STATE ~URCHA,qGE <br /> <br />QUANTITY AIvlOUNT <br /> 1 $2.00 <br /> $10.o0 <br /> $0.60 <br /> <br />TO'fAL ~ED FEES <br />PREV10US RECEiPT~ <br />'FHiSRECEiP3 <br /> <br />$12.60 <br /> $0.00 <br /> <br />BALANCE L~UE $0.00 <br /> <br />PAYEE: CONLE¥, LINN RECEIP1 NO: 37958 <br />RECEIVED BY: Dr42 'TYPE.- CK CHECK ~+. 19655 <br /> <br /> THIS IS A VALID PE~IT ~ .,THIS:PE~i'T:,I~XPI.RES 150 .DAYS F~ iTS I~E ~TE. IF <br />~T~Ti~ ~ F~ A ~J~ ~ ,1BO,~, ~ IF ~T~CTI~ FAI~ TO M~T ALL <br /> <br />~ B~E NULL ~D <br /> <br />RFJVlARK~: ~ LiNE ONLY RAt3728 <br /> <br />DONALD E. WOODLEY. r, IARiON COUNTY BUILDING OFFICIAL / BY <br /> <br />FOR~ ~ MC ~5,56 ~EV, 4/f~O OFFICE COPY <br /> <br /> <br />