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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PRONE: 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work wiJl bo oerformod by a regf$tered builder. <br /> O~her <br /> <br />gA'fL: 1'¢/22/91 f',(~: 11t07:~7 <br /> OL.:5ON L~:© <br /> <br /> 'tO¢~0& NL!5(bACR~ LN <br />AU R R~ <br /> <br />OR M'/UU2 <br /> <br />L(Yl. BLOCK: <br /> <br />OATE: <br /> <br />TAX LOT CATEGORY <br />PlAR!ON COUNf~ NO <br /> <br />VALUAT I ON; <br /> <br />IRREG. LOT ~1(') CORNEr~{~ <br /> <br />lYRE: MECHAN i ~AL <br /> <br />C, 31~ fRACf )R, NO. <br />OLSON <br />SAME <br /> <br />PHONE: 878-184,9 <br /> <br /> !/'Elvt <br />[)O¢4EST.~C WOOO STOVE <br />IvlECPIAN,~CAL BASE FEE <br />~ECHAN;CAL S'r'ATE SURCHARGE <br /> <br />PAYEE: ELAINE <br /> <br />PERIvll f' OR APPLICATION NC): <br /> <br />36980 <br /> <br />'TOTAL A~ESSEO FEES <br />PREVIOUS RECEIPTS <br />THI~ <br />8AL~C~ DUE <br /> <br />QUAN'T' i 'T'Y AM(,)UN'T <br /> <br /> $ ~ 0, (] 0 <br /> $0,88 <br /> <br />$18,38 <br /> $o,oo <br /> <br />$ 0,0 0 <br /> <br />RECEIPT NO: 3893~ <br /> <br /> RECglVED BY: ~ TYPE: CA CHECK ~: 0 <br /> <br />~ THiS IS A VALID PERMIT ~ THIS PERMIT EXPIRE5 180 DAYS FROM, ITS ISSU~ DATE. iF <br />CONSTRUCTION CEASES ~OR A PERIOD OF 180 DAYS. OR iF CONSTRUCTION EAILS TO f4E~T ALL <br />REOUiREM~NTS OF STATE LA~ /~ND f~ARiON C~)UNTY BUILDING AND ~ONIN$ ORDINANCES. THIS PERMIT <br />~AL~ BECOME NULL AN~) VOID. <br /> <br />f~.EMARKS; ~E WODOSTOVE ~.NSERT <br /> <br />')ONALO E. ~O(,]OLEY, ~AR~ON COUNTYBUiLO.,NG" r "r'0f',-'~"'iC[A~.." / S¥' <br /> <br />OFFICE COPY <br /> <br /> <br />