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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STFIEET NE <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 performilqg work on a proPet'ty I own or occupy. <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br />of a registered builder. <br />"the work will be performed by a registered builder. <br />Other <br />I hsvo read and agree to tho terms stated on the reverse side of BATS: <br />this documor~t. <br /> <br />owNBi!,I'E: 0'//03/92 <br /> <br />51fUS ADDRESS: <br /> <br /> A0~4,.SVI L.Lh,.. o~ 9?325 <br />USE OF BUJL01NG AUI'V~V.~ LLE <br /> <br /> CATEGORY <br /> <br />NB NO OF BEOROOM$ <br /> <br />(,~,..AYB,~ MCGUiRE -- ,4b. Al...l(')R 363--3'388 <br /> <br />PH ON E: <br /> <br />VALUA]'~UN: zo~ <br /> <br />RREG. LOT~ CORNER' <br /> ~O NO <br /> <br />'IYPE: MECHANICAL PERMi'f' OR APPLiCA]"tON NO: 3'7805 <br /> <br />CONI'RAU'I'OR, NO. <br />KRO~ER, <br />GLAYOS MC~U[RE : REALTOR 363-33 <br /> <br />PHONE: <br /> <br />DOME~I'IC WOOD STOVE <br />i~ECHANZCAL B~E FEE <br /> <br />'TOTAL ASSE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUAN'I'i'~Y <br /> <br />AiVOUN f <br /> $7.50 <br /> $:0-00 <br /> $0,88 <br /> <br /> $38,38 <br /> $ 0.0 0 <br /> <br /> PAYEE~ GLABYo MCGUIRE ~NVOiCE NO; <br /> RgC~I. VED BY: PB TYPE; CK CHECK ~: ]854 <br /> <br />* THi~ iS A VALID PEI~flIT ~ THiS PERt~IT E;XPiRES ~80 DAYS FROI~I ITS IS,SUE BATE. <br />CONSTRUCtiON CEASES FOR A PERIOD OF 188 DAYS. OR IF CONSTAtlCTiON FAILS TO REgT ALL <br />REI;;IJiREr.41ENTS OF STATE ~ AND IVlARiON COJNTY BUILDING AND ZONING ORdiNANCES. 'f'BJS <br />f~HALL BECOME NULL AND VOID. <br /> <br />REMARKS: <br />XJNAL0 E- W00OLEY, ~'IAR,(ON COUNTY 8UJ;LO,!,NI,~ OFP'ICIAL, / BY ........................ ~,, <br /> <br />OFFICE COPY <br /> <br /> <br />