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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE:588-5147 8:00,,4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or OCCugy. <br /> <br />DATE: 10/15/92 TIME; 12:22_"29 <br />MEDINA, PEDRO <br /> <br />CONSTRUCTION TYPE <br /> <br /> 680 DELMAR DR <br />AUMSVILLE OR 97525 <br /> <br /> RESIDENTIAL, <br /> <br />OCCUPANCYr <br /> <br />~ ~t~§ ~¢C~ LC~T~ ~ 'OCdUP^NT LOAD <br /> <br />SAME <br /> <br />PMONE: 749-$508 <br /> <br />SITE NUMBER: <br />VALUAI' I ON: <br /> <br />92-05575 <br /> <br />WIDTH: DEPTH' AREA: UNITS'. RANG. LOT: ' CORNER: <br /> NO NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />MEDINA, PEDRO <br />SAME <br /> <br />PMONE: 749-5508 <br /> <br /> ITEM <br />DOMESTIC WOOD STOVE <br />MECHANICAL CASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> i $7.50 <br /> $10.00 <br /> $0.88 <br /> <br />$18.58 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: MEDINA, PEDRO INVOICE NO: 45512 <br />RECEIVED BY." PB .................................. TYPE: IN CHECK ~: 0 <br /> <br />· THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOIO. <br /> <br />REMARKS: WOODSfOVE <br />DONALD E. WOODLEY, <br /> <br />MARION CDUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />