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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHON.E: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />DAli;:: E';10, /9,~ TIN[?.' ?:00:45 <br /> 7 i~,x'gb': <br />HAl;. E¥,~ I:!]Jl;-Ii~]qE <br />81TUS ADDRESS: CONS'¥RU~TION TYRE: <br /> <br /> 385 I)AF,:t.A CI ...... ....... CONTRACT CITY: tJ~i <br /> A JMoVIL[ ~ HO <br /> AUHSV'[I.I,E OR 97%~5 ' ..... <br /> <br />USE OF BU~L¢IN6: <br /> <br />RES II)EI,f i' ;( Al,,, <br /> <br />SITE NUMBER: <br />VAI,. UA'r :1: 0It.- <br /> <br />LOT' BLOCK: <br /> <br />SECTION: .... TOWNSHIP: ~Nb~i ZONE; <br /> <br />ARS~; UNIT~; I~R~P~, t_Of : <br /> <br />MAP: <br /> <br />TYPE: MECHANTCAL PERMIT OR APPLICATION ND: 45604 <br /> <br />CI')N I'R~CTOR., I~0.. <br /> <br />F'HSHE;;~ 749-3140 <br /> <br /> I')'~H <br />DOMEE~TIC WOi')l) 8TI]VE <br />MFCHANICAL BASE FEE <br />MECHANi[CAL ~TA'FE SURCHARGE <br /> <br />(;~U AN T ;~ 'f' I' AFiO UI,I'i' <br /> $7.5','i <br /> <br />TOTAl.. ABSE(:iSEI) <br />I',:'R EV ]: OIJ~ RECE3, PI ,.~ <br />THIS RI;¢Clii] P T <br /> <br /> PAYI:'F,; H ~ [.LY.~ B <br /> RK,'];EIV:i]) BY:: F'M .................................................................. TYPE: <br /> <br />EBiJlREMEHTS OF STATE LA~S AN~ HARION COI}~TY BUILDING A~D ZONING Q~DINA~CE~ <br /> ALL BECOME NULL AN~ <br /> <br />REuARK..x. I"~EI.,I,ET STOVE <br /> <br />bOl,lAlI) E, WOOI)I...EY., MARION COLIHIY BUILI)IMf_; OFF:ICIAI., / BY ................................................................................ <br /> <br />OFFICE COPY <br /> <br /> <br />