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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97304 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE; <br /> <br />OWN~J~'f'E: 12/06/91 f'iME: 11:2§:05 <br /> <br />SITUS AOnR~S,C~H[I'MOORE, DARYL G, <br /> <br />265 S DE'rROI'r AVE <br />DE'I'RO I 'i' <br />USE OF BUILDING <br /> <br />rjr 97342 <br /> <br />CONTRACT CITY <br /> <br />0EI'RO I T <br /> <br />UGB <br /> <br />NO <br /> <br />CATEGORY: <br />OCCUPANCY: <br />OCCUPANT LOAD: <br /> <br />RESiDENTiAL <br /> <br /> PHONE*. 854-3672 <br />t_OT: BLOCK: <br /> <br /> Si'fE NUFSER: 15066 <br />SECTION: <br /> 'rowNsA,.: R~AL_LIA'r i 0N i. 15Ns; <br /> <br />MAP; <br /> <br />IRREG. LOT; COF~ N ER: <br /> <br />NO NO <br /> <br />TYPE: MEChANiCAL <br /> <br />CON'f'RAC'f'OR, NO. <br />WHi'f'MOORE, 0ARYL G. <br /> <br />PERNI¥ OR APPLiCA'FION NO: 3?232 <br /> <br />PHONE: 854.~3672 <br /> <br /> UT'EH <br />DOt, IES'f'IC VC0OD 5['OVE <br />~EG~ANICAL BASE FEE <br />NECHANiCAL STATE ~URC~ARGE <br /> <br />PAYEEt NHi'rMOORE, OARYL 6. <br />RECEiVEO BYz <br /> <br />QUAN'I'i]'Y AMOUNT <br /> 1 <br /> $10.00 <br /> $0_88 <br /> <br />TOTAL A..S,SESSED FEE~ <br />PREViOUs RECEIPTS <br />THiS RECEIPT <br /> <br />$18.38 <br /> $o.oo <br />$18.38 <br /> <br />BAL.NNCE fiJE $0.00 <br /> <br />iNVOiCE NO: 39201 <br />TYPE: UN CHECK ~: 0 <br /> <br />~ THIS IS A VALID PEffiflIT · THIS PER~IT ED(PIRF'A 180 OAY~ F~,I ITS I~E ~TE. iF <br />~ST~CTI~ C~ FOR A PERiO0 OF 180 DA~, OR IF ~BT~CTI~ FAi~ TO MEET ALL <br />R~iR~TS OF STATE ~ ~O ~Ri~ ~NTY 8UILD[~ ~O Z~iNG ORDIN~C~, THiS PE~iT <br />~ALL BB[ NULL ~D ~IO. <br /> <br />REC4ARKS: IcFJOO STOVES <br /> <br />DONALD E. ~OODLEY, biAR.iON CC~N'I'Y BUiLDiNG OFFICIAL / BY <br /> <br /> OFFICE COPY <br />-ORM # MC 15,56 REV. 4/90 <br /> <br /> <br />