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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%147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE' 588-7904 <br /> <br />other <br /> <br />SIONATURE O~ APPLICANT <br /> DATE <br /> <br />Ow~AIE: 09/23/91 ii~IE: 10;03:44 <br /> <br />SITUS ADOnES~'''ORfER, WALTER <br /> <br />TAX LOT <br /> <br />CONSTRUC liON TYPE <br /> <br /> 463 CLOVER <br /> AU~V1LLE <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br /> CONTRACT CITY <br /> <br />AUrC~VILLE <br /> <br /> CATEGORY <br /> <br />'OCCUPANCY RE~iDEN I IAL <br /> <br />OCCUPANT LOAD <br /> <br />NO OF BEDROOMS <br /> <br /> PHONE: 't49-2472 <br />LOT BLOCK <br /> <br />SiTE NUMBER: 13822 <br />~^N~/~ALUA TION: ZONE <br /> <br />IRREG LOT i CORNER <br /> <br />TYPE: MECHANICAL PEP~IIf OR APPLICATION NO: 35312 <br /> <br />CrDNiRACTOR, NO. 1090 <br />DAY HEAF[NG <br />225 DIVISION 51 NE <br />~ALS,~I OR 97301 <br />PHONE: 363-4822 <br /> <br />GA~ CONN~-C r ION <br />PLOOR rcC.~JNTED UNI'f HEALER <br />NECHANfCAL BASE FEE <br />~ECHANiCAL STALE SURCHARGE <br /> <br /> rOTAL A~S~,.~ED FEE~ <br /> PREVIOUS RECEi P¥S <br /> THIS RECEi P r <br /> <br /> BALANCE DUE <br /> <br />PAYEE: OAY HEAriNG <br />kEOblVgO BY: OR TYPE: iN <br />THIS 1S NOT A PE~IT. TH[8 IS A ~ND ~T <br /> <br />C~&JAN'T~fy <br /> 1 <br /> <br />CHECK <br /> <br />-$~,,0o <br />-$4.80 <br /> <br />$0.00 <br /> <br />37222 <br /> 0 <br /> <br />FORM # MC 15,56 REV 4/90 OFFICE COPY <br /> <br /> <br />