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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SA'rEM, (~REGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a registered builder, <br /> Tl~e work will be performed by a registered builder, . <br /> Other, <br /> <br /> DATE:03/19/9~ T[~E~ <br /> <br /> 'r~'rF~T, H~K <br /> <br />AU~ OR 97002 <br /> <br /> CEDARF[ ELD <br /> <br />~: .~ S~TE NU~ERz 92-01075 <br /> <br /> ~ BL0CKi ~'~i~ ........... 2 ~)~, ......... ~[ '~ ...... ~ ~A: ....... ' MAP; <br /> 1 , ~ 11 , 4s ~ 1N ] AR ~ 3 <br /> <br />RE$10~NTI~ <br /> <br />TYPE: PI...UIV~[NG <br /> <br />PERMIT OR APPLICATION NO: 38887 <br /> <br />CONTRACTOR, NO. 23572 <br />CANBY PLUivIBiNG <br />805 NE 4TH <br />CANBY, 97013 <br />PHONE: 268-2091 <br /> <br /> l 'rFJ~l <br />RESIC. E~TiAL E[XTURE, ALTERATIONS <br />PL.UFISING BASE FEE <br />PLUI~I~NG STATE ..~JRCHARGE <br /> <br />TOTAL.A,~.~EDFEE~ <br />THiS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: DAV[DGAR~ER <br />RECEIVED BY: cl <br /> <br /> QUANTITY .Nv!O~N1 <br /> 4 $38+00 <br /> $20.00 <br /> $2.80 <br /> <br /> $58.80 <br /> $o.00 <br /> $58.80 <br /> <br /> $o.0o <br /> <br />RECEIPT NO~ 40889 <br />CK CHECK ~: 2453 <br /> <br /> THIS IS A VALID PEI~ti~ ~ THI~ ~lT EXPIRE~ 180 OAY~ ~ ITS iE~IJE DATE. IF <br />C~N~TRUCTZON CEASe=: FORA PERJ~OF.180,.~, OR IF~T~CTI~ FAI~ TO ~T ALL <br />~I~T~ OF STATE ~ ~,,~RI~ ~TY ~[LDZ~.~O,Z~IN~ ORDIN~C~, TH[S PE~tT <br />~ALL B~E NU~O <br /> <br />RF_J.1ARKS: 4 FIX <br /> <br />Or,.~ALD E. NOODLEY, ~EION COUNTY BUILOING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM ~ MC 1~.56 REV, 4/90 <br /> <br /> <br />