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<br />!'ÖWÑDt-.TE,." lU/Ol/91 'TIMË':""'ieTO7"-02' I TAX LOT, ¡ C .GORY 1
<br />0 I UAAS & ~I~NE ',"'" "" " .o,:-:,--¡'O:ÄC'TC",.'U...P."A...N'.,'CO,' 'RESl~~N¡ TlAl
<br />fS'TUSADOj'o'Si;ED~C LA, "H" '"""" --'" 'I¿ON$1'Ruci-'ON;YPË, ,
<br />
<br />OR 97342 ¡ÚÖiii'RÄëT ClfY _r,UGe. No,,1."ë~~P:~',IT, .'N", lO'C'-O~fD_'-E'D',",'R',',o', 'o",.','M:,,:,',"S,',',', I
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<br />
<br />TSUBOIVislON,
<br />
<br />
<br />'f
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO,225
<br />220 HIGH ST¡:¡ËETNE
<br />SALEM, OREGON 97301
<br />
<br />PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />I am performing wo,k on a propecty I own or occupy,
<br />I am a registered builder OR ( ) the authM<ed 'epresenta"ve
<br />01 . registered builder,
<br />The wolk will be perlormed by a registered build."
<br />Other
<br />I have 'ead and aglee to the terms stated On the 'Ove". side of
<br />thl5 document.
<br />
<br />SIGNA'URE OF APPLlÇANT,
<br />
<br />OATE,
<br />
<br />100 2ND Sf
<br />DETROI T
<br />,USE ÓF "DiCD-'-,ii""
<br />
<br />:MAILING ADDRESs,
<br />
<br />DRAWER A
<br />DETROI T 97342
<br />PHQ\lE: 854-3019
<br />
<br />"PAI'FQ\I .._",,---,
<br />
<br />LO1'
<br />
<br />SITE NUM3ER: 14438
<br />..VAWATION:,.. .,
<br />RANGE" I ZONE,
<br />i
<br />'RReG, LOT ;ooRNo';;,,'
<br />
<br />¡'MAP,,'
<br />
<br />!BLOOK'
<br />
<br />: SEcnON'
<br />
<br />:TOWNS>"P,
<br />
<br />W'DTH'
<br />
<br />'DEPTH
<br />
<br />3
<br />
<br />,I
<br />, AREA,
<br />
<br />, UNITS:
<br />
<br />NO..,
<br />
<br />No.,,--
<br />
<br />IYP~: MEG'HANICAL
<br />
<br />PERMIT o.R APPLICATION No.:
<br />
<br />35826
<br />
<br />CONTRACTOR, No..
<br />EDICQlA, THOMAS & MARIANNE
<br />DRAWER A
<br />DETROI T 97342
<br />PHQ\lE: 854'-3019
<br />
<br />ITEM
<br />OOMESI IC WOOD STOVE
<br />MECHANICAL B,""SE FEE
<br />MECHANICAL STATE SURC'HARGE
<br />
<br />QUAN T I fY
<br />1
<br />
<br />AMOUNT
<br />$7.50
<br />$10.00
<br />$0,88
<br />$18.38
<br />$0.00
<br />$18.38
<br />$0.00
<br />
<br />
<br />TOTAL ASSESSED FEES
<br />PREVIOUS RECEIPTS
<br />THIS RECEIPT
<br />BALANCE DUE
<br />
<br />PAYEË, EDICQLA, THa-.1As & MARI~NE INVOICE No.: 37'141
<br />---_!:~~~::~.'?~.:r:.:_~-=.=== -, ---:..:- ~,~ -. -.=- -C, - - -:;;==-= -" TYPE .:._~~--~~::.:._-----_-.::_----
<br />* THIS IS A VALlO PERMIT * THISPERMITEXPlRESl80 DAYS.FRQ>1 ITS ISSUE DATE, IF
<br />(X(I STRUCT1()1 CEASES FOR A PERlbD,OF1SODAYS.-OR.IF C()I STRUCTl()l FAILS TO MEET ALL
<br />REQJIR8Vl8I/IS OF STATE LAWSAND'il'lARIQ\ CCUNTYSUILDINGANDZQ\lING ORDINANCES. THIS PERMIT
<br />SHALL BECQ-.1E NULL AND VOlD.:(' '. .... ,
<br />
<br />REMARKS: EXISTING WS
<br />OONAlD E. WOODLEY, MARION COUNTY BUllDlNG OFFICIAL / BY
<br />
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