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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE ~ <br /> SALEM, OREGON 9'7301 TM <br /> <br />PHONE: 588-5147 8:00 - 4::30 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br />of 8 registered builder. <br /> <br />Olher <br /> <br />10/0t/91 f ,[~iSt 18'-58:28 <br /> <br />MC CERNEY, JERRY ~ L~NE <br /> <br />TAX LOT: <br /> <br />RESI(,]EN T 1AL <br /> <br />160 N PA'f'TON ROAD <br />DE I'ROIl' OR 9?342 <br /> <br />...... tF-)E~'R(,$ i T ........ NO <br /> <br />PO t.3(g× 581 <br />OE: ('(Ag i'1" <br />PHONE: <br /> <br /> ~ SII'E NU~E3ER: 14456 <br /> ........ !TOWNSHIP: t ,~VALUATiON , : <br /> <br />; AREX: ....... UNfTS: ~ ~ ~Of: ~ c6RN~A~ <br /> <br />MAP: <br /> <br />'l YP~ ~ NIECHAN iCAL REP, Ca I '~ OR APPLICAT ION NO: ;~58~.5 <br /> <br />CC)N T'RAC f OR, NO, <br />MC; HERNE¥, J¢:RRY & L, EANNE <br />PO 80X 68q <br />D~ I Rt'31 I 9?342 <br />~-¥'fC)N E: 854-~380'? <br /> <br /> iTEN <br />OfgW~ES'f'~C WOO0 S'f'QVE <br />MECHANICAL B~SE ;EE <br />~ECHANtCAL S'TAI'E S, URC,~ARGE <br /> <br />PAYEE; MC HERNEY, JERRY ~ LEANNE <br /> <br />r'o'rA~ AS~E~B FEES <br />PREW~OU$ RECEIPTS <br />'T'HiS ~ECEIP'f' <br /> <br />~UAN'T'i'f'Y <br /> <br />A~QUN'T <br /> $?,50 <br /> <br /> Su.~ <br /> <br />~18.38 <br /> $0.00 <br /> <br />BALANCE UUE <br /> <br />INVCICb NO: 3??60 <br /> <br /> RB:CEtVEL) BY; D~2 ............................................................................ TYPE: iN C~ECK ~: O <br /> <br /> ~ THIS tS A YALtD P~'~IT * THIS PERi,lIT E~KPIRE~ 180 OAY~ FR'O~ <br />~S[~CTI~ ~ ~R A PERIOD OF 180 ~YS. OR IF ~T~CTi~ FAi~ TO ~EET ALL <br />~[~TS OF ~TAT6 ~ ~O ~[~ ~NTY BU[~iN~'~D Z~ING O~/N~C~, THIS PE~JT <br /> ALL ~E~E NULL ~ <br /> <br /> RE~ARKS: ~i~'~tNG ~5 <br /> <br /> [)0NALP E. ~OODL-~Y. ~AR[QN D~N'T'Y BU~L¢iNG OFP'JCIAL / 8~ ................................ <br /> <br />,o.~ ,~ uc ~-~e n~v, */~o OFFICE COPY <br /> <br /> <br />