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220 HIGH STREET NE <br />SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performi~q work on a property I own or occupy. <br />I am a registered builder OF{ the authorized representative <br /> of a re,qlstored buirder, <br />The work will be perforft~ed by a registered builder. <br /> <br />01/08/92 TIME; 1B:07:41 <br /> <br />DUSTAN, PATRICiA O <br /> <br />CATEGORY; <br /> <br />OCCUPANCY: <br /> <br />RESI DEN'I' iAL <br /> <br /> 116~t4 LARK CT NE <br />AUROP, A OR 97002 <br /> <br />USE OF BUILDINGI <br /> <br />r~tAR i C~4 COUNTY NO <br /> <br />NK 981-5016 <br />PHONE: 678-2475 <br /> <br />LOT: BLOCK: SECTION: TOWNSHIp: <br />23 33 <br /> <br />SUBDIVISION: <br /> <br />CENTURY MEADOHS PH 4 <br /> <br /> SiTE NU~ER: 92-00271 <br /> VALUATION: <br /> <br />RANGE: ZONE; <br /> <br />IRREG. LOTI : CO~NER: <br /> NO <br /> <br />MAP: <br /> <br />TYPE: MFJC~ANICAL PERfvlI'r OR APPL[CA'FI~N NO: <br /> <br />oONrRACTOR, NO. 519'~9 <br />AL'SCHtI~NE~ SERVICE <br />PO BOX 7643 <br />r~AL~I, 97303 <br />PHONE: 399-7503 <br /> <br />DO~ES'r[c WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE GURCHARGE <br /> <br />PAYEE: PATRICiA D Bus'rAN <br /> <br />TOTAL A~.~E>Z~ED FEES <br />PREWIOU~'RECEIP'FS <br />THiS RECEIPT <br /> <br />QUANTiI'Y AIYiOUNT <br /> 1 $7.50 <br /> $10.00 <br /> <br />$18,38 <br /> $0.00 <br />$18.38 <br /> <br />BALANCE DUE <br /> <br />RECEIPT NO: 39841 <br /> <br /> RECEIVED BY: B¢4 TYPE: CK CHECK ~: 5534 <br /> <br />* THIS IS A VALID PE~IT * THIS PEr.lIT EXPIRES 180 OAYS FROf4 iTS IBSUE DATE. i~ <br />CONSTRUCTION CEASES FOR A P~IOD OF 180 DAY~. OR IF CONSTRUCTION FA1L~ TO MEET ALL <br />RE~IRE~4ENTS OF STATE L~ AND t~iONCOUNTY BUILDING AND ZONING ORDINANCES, THIS PER,lIT <br />,SHALL 8EC~E NULL ANDVOiD. <br /> <br />DONALD E. NOODLEY, ~ARiON CCUNTY BUILDING OFFiCiAL / BY ......... 1.7~ ......... <br /> <br />OFFICE COPY <br /> <br /> <br />