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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OR6GON 97301 <br /> <br /> PHONE: 588~5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Ct a registered builder, <br /> The work will be performed bY a registered builder. <br /> <br /> DA'T'E~ ~/0~/92 ]J,~; ]_4:!9:5~ ..... <br /> ~ .............. ! TAX LOT'. ............ ~ATEGbRY: <br />i JACK' ~ARI'~ 90221-9?0 <br />'-'~ ~Uu~s¢; ......................... <br /> <br /> ~60 BUTTE S'r' ~ ~ CONTRACT CITY , UGS'. <br /> BE'¥~iT OR 9?342 <br /> ........ ........ LQEY~1, ......... ~O <br /> <br />;'~,u~ AO~E~S: .................................................. I ~b~6i¥~ ........................... <br /> <br /> f H~NB <br />~ ~ BOX 967 <br /> SClO 9?3?4 <br /> ~E~ 258-7519 ¢ S[I'E NU~ER: 92~02161 <br /> <br /> I [ 12 I ~ ~ ~ 105 <br />'W~5~: ............. 5~R-; ........................ 2~% ..................... 8 ~Tf~; ................... i'~'~:'L¥~ ............ !'~5~'~'R~ <br /> <br />R~ J: DEN'f' i Al <br /> <br /> TYPE: MECHANICAL PERMIT OR APPLICA'rJ[oN NO: 40491 <br /> <br /> CONI'RACI'OR, NO~ 76166 <br /> S~'f'iA~ H~'HNG <br /> ~8930 H~ 226 <br /> <br /> ~: <br /> <br /> ~E~'f'~C ~D STOVE <br /> MECH~JCAL B~E FEE $10.00 <br /> MEtriCAL 8'fA'rE ~A~E $0.88 <br /> <br /> TOTAL <br /> <br /> THIS R~EIP'f <br /> <br /> BA~CE <br /> <br /> ~AYEE; S~'ri~ H~TING INVOICE ~o: 42522 <br /> RBOEIVEO BY: ~ rYPE: iN ~ECK ~: 0 .. <br /> <br />~ THiS IS A VALID ~1~ ~ ~IS P~i~ ~[~' 180,~ F~ iTS I~E ~TE, IF <br />~T~CTI~ ~ FOR A, ~R:I~ OF 180.~. OR IF ~ST~CT[~ FA[~ TO ~T ALL <br />~[~T~ OF STATE ~ ~0'~[~:.~ ~ILO[N~ ~0 ~[~ ORDINal. THt~ PE~[T <br />~ALL B~E NU~ ~O <br /> <br />RE.~IAR~= PELLET STOVE <br /> <br />DONALD E. NOODLEY. IVlARiON cr-...~JN'I'Y BUILDING OFP[CIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />