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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />';'20 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 />I am a registered builder OR ( ) the autl~orized rebresentative <br /> <br />The work will be berformed by a resistered builder. <br />Other. <br /> <br />DATE: 09/15/92 TIME: 14:49:36 <br /> <br />APELTAUER, MILAN & ZDENKA i 74110-000 :RESIOENTIAL <br /> <br /> 8057 BARBARA LANE SE <br /> AUMVILLE OR 97525 <br /> <br /> ~ THE R~NCH <br /> S~ME <br /> ~ SITE NUMBER-' <br /> PHOHE: 759-48~[ I V~LURTZON: <br /> <br /> i ~ ZW ., AR 48 <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATI0N NO: 42580 <br /> <br />CONTRACTOR, NO. <br />APELTAUER, MILAN & ZDENKA <br />SAME <br /> <br />PHONE: 769-4861 <br /> <br /> ITEM <br />DOMESTIC WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />· fOT~[ ASSESSED FEES <br /> PREVIOUS,RECEIPTS <br /> <br />QUANTITY AMOUNT <br /> 1 $7.50 <br /> $10.00 <br /> $0.88 <br /> <br /> $18.38 <br /> ] 8 :N O $o.oo <br /> PAYEE: APELTAUER, MILAN :& ZOE:NK~ RECEIPT NO: 44650 <br /> RECEIVE <br /> Y. PM ...... .. ....... - .... m~%~.~z-~..-- TYPE: CK CHECK ~: 1627 <br /> <br />~ THIS IS A VALID PERNI~ · ,THIS :FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASE8 ~OR A PERIOD OR ~F,',COHSTRUCTION FALLS TO MEET ALL <br /> EQUIRENENTS OF STATE LAWS AND MARION 'COUNTY BU~LD~H6 ~NO ZONING ORDINANCES, THIS PERHIT <br /> ~ALL BECOME NULL AND ~OlO. <br /> <br /> REMARKS: PELLET STOVE <br /> <br /> OONALO E. WOODLEY, HARION COUNTY 8UILOIH6 OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />