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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE~A-PHONE: 588~7904 <br /> <br />Other <br />f Lave read and agree to the terms stated on the reverse side of <br /> <br />DATE: <br /> <br />OWN~ATE: 09/27/91 <br /> <br /> 19976 BEAN ALLEY <br />ALJC4SV [ LLE OR <br /> <br />' OONSTRUC¥1~N TYPE: i O0C~PANCY: <br /> <br />DEN 11¢.~L <br /> <br />i CONTRAC~ ~i~Y; <br /> <br />i UGB: :OCCUPANT LOAD: <br /> <br />"MARION COgN'fY NO ;No ~ m'D~oo~s <br /> <br />5343 ~lLL CREEK RD SE <br />'r'uRNER <br />PH~N~: '743-4534 <br /> <br />~l'fE NUMBER: 14342 <br /> <br />'AREA: ;U~I~S: ; IRREG. LOT: ' <br /> ; NO <br /> <br />'TYPE: ~ECHANICAL PER¢4I'f OR APPLICATION NO: <br /> <br />DO~ES'T'iO t,',,~gOD STOVE <br />~ANICAL BASE FEE <br />MECHANICAt. $f'A'F'E SU~;HA~E <br /> <br />PAYEE: ¢4AJOF~. ROBERT <br /> <br />35604 <br /> <br />TO'fAL ~D P'gES <br />PREVIOUS RECE~P'f'~ <br />THIS RECEIP'I' <br /> <br />~UAN'f'If'Y A~OUNf <br /> $0,88 <br /> <br />$18.38 <br /> $0.00 <br />$18.38 <br /> <br />BALANCE DYE $0_00 <br /> <br />R~CEIP'T' NO: 37517 <br /> <br /> RECE£VE~ BY: DF42 ..................................................................................... TYPE: CK CHECK ~: 4.232 <br /> <br />* THIS IS A VALID PIEI~IT * THiS PERI, iT EXPIRF~S 180 IDAY~ ~F~ ITS ISSUE BATE. iF <br />~NS~RUCTiON CE/tSli5 ~OR A PCRiODOP~80.DAYS;::OR IF (~TRUOTION FAILS TO ME~T ALL <br />~DquIREf41~NTS OF STATE L~ANDI~C~IONC~JNTYSUILDING:ANOZONING OROINANCBS, THis PEI~4tl' <br /> <br />:SHALL BEC13~E NULL ,~,ID VOID. <br /> <br /> RE~,RKS: WOOD STOVE R~3692 <br /> <br /> OUNALD E. ~)ODLEY, ~ARi~ COUNTY BUILDING <br /> <br />~ORM, ~c t~-5~ F~ev. 4~o OFFICE COPY <br /> <br /> <br />