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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-PHONE: 588-7904 <br /> <br />Other,,, <br /> <br />OAf E: 02/14,/92 lIME.* 12;17;39 <br /> <br />OWNER I~JE1/CSK!, ROY <br /> <br />,cH Tt J S ADDRESS <br /> <br /> 10856 JA~S NAY OR <br /> AUM~V t LLE <br /> <br /> ~HON~: 74,9-3?53 <br /> <br />OR 97325 <br /> <br /> TAX LOT CAI 5GO~Y <br /> CONS~ RUCTION TYPE OCCUPANCY <br /> <br />CONTRACT C](Y UGS OCCIIPANT LOAD <br />IViAR,I ON CT.~JN 'I Y NO <br /> <br />CAMELLIA HEIGHfS ~1 <br /> <br />SI1E NUIV~ER: 92-00?80 <br /> VALUAf'ION: <br /> <br />RESIDENY]AL <br /> <br />tOT CLOCK CECTION <br /> 94 <br /> <br />29 8S 1N <br /> UNITS IRHEG LOI NO CORNE~o <br /> <br />MECHANICAL <br /> <br />(.,'ON'f RAC I OR, NO. <br /> <br />PHCHE: 749-3753 <br /> <br />DOf4~TiC N~OD STOVe <br />~£CHANICAL BASE FEE <br />MECHANICAL 8'FA'FE~URO~AR6E <br /> <br />PAYBE: I~JE~:~K~. ROY <br /> <br />PER,liT OR APPLICA'flON NO~ 28~30 <br /> <br />QUANTI1Y A~UN1 <br /> ~ $?.5o <br /> $~0.00 <br /> $0.88 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEiPf <br /> <br />$18.38 <br /> $o,oo <br />$18.38 <br /> <br />'BALANCE BCE $0.00 <br /> <br />RECEIP1 NO: 40~22 <br />TYPE: CA CHECK ~: 0 <br /> <br />~ THIS I$ A VALID PEI;~IlT * THI~ PER~IT EXPIRIBS 180 OAY~ FROI~ iT5 I~MJE DATE. IF <br />CONSTRUCTION C~ POR A PERIOD OF 180 QAY~, OR iF C(~ISTRUCTION FAIL~ TO ~EET ALL <br />~IR~T~ OF STATE L~ AND ~1ARiON COUNTY BUILDING AND ZON/N6 ORDINANCES, THIS PE~IiT <br />SHALL B~ENULLAND VOID~ <br /> <br />R~RK~: NOOBSI'OVE <br /> <br />DONALD E. NOOOLEY, ~RION COUNIY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />