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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />2'20 HIG-H STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />I am pertorming work on a property I own or occupy <br />I am a reois~ered builder OR the authorized ep esen ave SIGNATURE OF APPLICANT: <br />of a registered builder, <br />The work will be pedormed by a registered builder· <br />Other <br /> <br /> DATE: 11/05/92 TIHE: 12:;[4:48 <br /> REEVE~ HARK <br /> <br /> 10655 EHLEN ROAD <br />AURORA <br /> <br /> ~)N~fRUCTIO~4 TYPE: <br /> <br /> NE <br />OR <br /> <br /> RESIDENTIAL <br /> <br />OCCUPANT LOAD: <br /> <br />SAME <br /> <br />PHONE: 678-~093 <br /> <br />SUBDIVISION; <br /> <br /> SITE NUMBER: 92-05910 <br /> VALUATION: <br /> <br />LO't: <br /> <br />NO <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />REEVE, MARK <br />SAME <br /> <br />PHONE: 678-3095 <br /> <br />PERMIT OR APPLICATION MO: 4~688 <br /> <br /> ITEM <br />DOMESTIC WOOD STOVE <br />HECHANiCAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> 1 $?.50 <br /> $10.00 <br /> $0.88 <br /> <br />$18.58 <br /> $0.00 <br />$18.58 <br /> <br />$0. OD <br /> <br />PAYEE: REEVE, MARK RECEIPT NO: 45773 <br /> <br /> RECEIVED BY: CL TYPE: OK CHECK E: 5619 <br /> <br />* THIS I$ A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIO0 OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDIHANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS: WS ~._ <br />DONALD E. WOOOLEY, HARION COUNTY BUILOiNG OFFICIAL / BY .............................................. <br /> <br /> OFFICECOPY <br />FORM # MC 16-~6 REV, 4~0 <br /> <br /> <br />