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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-PHON~: 588-7904 <br /> <br />Other. <br />I haw} rc~d and agree to the term~ stated on the reverse side ol DATE: <br /> <br /> DAI'6; 11/'13/91 T'IME: ~0;05:03 <br />OWNER: <br /> <br /> BOWEN RICHARO& ~HERRiE <br /> <br />RES~D~:Nf'IAL <br /> <br /> 4§3? DU¢4ORE DR <br />AUMSVI L. LE OR 9'7325 <br /> <br /> CONTRACT CITY: <br /> <br />MARION ~N'T'Y <br /> <br />NO¸ <br /> <br /> PHONE ~ 588-4090 <br />LOTI 8LOC K'. SECTION: <br /> 2 <br />3. <br /> <br />TOWNSHIP: <br /> <br />CASCAOEPARK <br /> <br />SiTE NU~ER: <br />VALUATION: <br />RANGE: ~ONE: <br /> <br />14853 <br /> <br />AC NO NO <br /> <br />MAP: <br /> <br />fYPE: Ivlf.;CHANICAL PERIYll'[ OR APPLfCA'T',[ON NO.* <br /> <br />CONf'RACfOR, NO_ <br />BOWEN RICHARD & ,,"~HERRIE <br /> <br />PHONE: 58~4080 <br /> <br /> iTEM <br />BOMES'f'~C t,N~.,~OD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />l'O'f'AL A~E~ED P'EES <br />PR~¥1OUS RECEIPTS <br />THIS RECEiP'T' <br /> <br />QUAN'IITY AMOUNI <br /> ~ $'~_~9 <br /> $1o_om <br /> $0_88 <br /> <br />$18.38 <br /> $o.oo <br />$18.38 <br /> <br />BALANCE DUE $9_80 <br /> <br /> PAYEE: VERNON FORES~'AAd'~L' RECEiP'I NO: 38710 <br /> <br />* THi~ IS A VALID PER~4IT ·THIS PEri, IT EXPZR~ 180 ~Y8 F~ iT8 l~g ~TE. IF <br />~ST~gTI~ ~ FOR A PgRIO0 OF 180 DA~, OR IF ~ST~TI~ FAi~ TO MEET ALL <br />~IR~T8 OF $TATg ~ ~D:~RI~ ~NTY 8UILOIN8 ~O Z~IN60RDIN~C~, THIS Pg~IT <br />~ALL B~E NU~ ~0 VOID. <br /> <br />REMARKS: INS R-O01? <br />DONAL0 E. NOODLEY, <br /> <br />MAR.ION COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />