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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 />Thc' work will be performed DY a registered builder. <br />Other <br /> <br />DATE: <br /> <br />OWnL~T¢': 01/07/92 TIME: 15:07:17 <br /> <br /> HOLOUBEK, ROBERT <br />SLTLIS ADD~ESS <br /> <br />TAX LOT: <br /> <br />CONSTRUC'I:IO N <br /> <br />90221-150 <br /> <br />0ATEGORY: <br /> <br /> 200 SANTIAIV~ AVE __ CONTRACT <br /> DE'fRO/T OR 97342 <br /> 'DETROIT <br />USE DP BUILDING: <br /> <br />2150 34'tH AVE NE <br />~3ALEM, OR 9?303 <br />PHONE: 363~5578 <br /> <br />SUBDIVISION: <br /> <br />150 '/500: <br /> <br />SITE NUIV~ER: 92-00224 <br /> MAUJAT ! ON: <br /> <br />10 5~ <br /> IRREG LOT: CORNER: <br />sF NO , NO <br /> <br /> RES1 DEN f' i Al <br />OCCUPANCY: <br /> <br />MAP: <br /> <br />'FYP6: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />HOLOUBEK, ROB£R'F <br />2150 34'FH AVE NE <br />5ALE.1~I, OR 9'1303 <br />PHONE: 363-55?8 <br /> <br /> I '1- E,M <br />~OMES'flC NOOD STOVE <br />MECHANICAL BASF FEE <br />MECHAN16AL STATE ~SURCHARGE <br /> <br />PAYEE: HOLOUBEK,ROBERT <br />RECEIVE0 BY¢ CL <br /> <br />PERMIT OR APPLICATICN NO: <br /> <br />~7843 <br /> <br />QIJANTiTY AMOUN'I <br /> 1 $7,50 <br /> SqO.OO <br /> $o.8e <br /> <br />TOTAL A~E~ED FEES <br />PRE¥IOUS RECEIPTS <br />THiS RECEIPT <br /> <br /> $o.o0 <br />$18.38 <br /> <br />BALANCE 0UE $0.00 <br /> <br />INVOICE NO: 39821 <br />TYPE: CA CHECK ~: 0 <br /> <br /> THIS iS A VALID PERFIIT * THIS PER~IT EXPIRES 180 DAYS FRO~ iTS IS~3E DATE. IF <br />C~NSTRUCTION CEA~E~ FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAiL~ TO ~EET ALL <br />REqUIRE~E~T~ OF STATE LAt~ AND ~AR[~ COUNTY 8UILDIN~ AND ZONING ORDINANCES,. THiS PER~iT <br />~'~ALL BECOME NULL AND VOID. <br /> <br />REJAARF~: AOOENOUM RE:~6-1HAL PEI:~IlT ~ 31399 ,[fSSUE0 ¢-9-91 <br /> <br />Of..~IALD E. NOODLEY, I~,RION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, <br /> <br /> <br />