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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 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 />of a registered builder, <br /> <br />Other_ <br /> <br />LAV~LLEE:~ 'LQH[~L ................................... <br /> <br /> 949,~ W STAYTON RI) -- <br /> AUMCVILLE OR ~¢7:~25 <br />'lJ~ -Ci,-¥O][bT~cT <br /> <br />MAILING ADDRESS; <br /> <br />LOT: <br /> <br />PHOME: 747-1508 <br /> <br />...................................................... gE,~, I,.D~FLC.I:[~. J .............. <br /> CONSTRUCTION TYPE'. OCCUPANCY. <br /> <br /> MARION COUNTY L_NO ........... <br /> .................................... i <br /> SUEDIVISION: <br /> <br />SITE HUMBER= <br />VALUATION: <br /> <br />RANGE; -ZONE MAP: <br /> <br />TYPE: MECHANICAL PERMIT OR APPLZCATIOH NO: <br /> <br />51696 <br /> <br />CONTRACTOR~ I'10. 48630 <br /> WillaMette Woodstoves Inc <br />1695 Marke~ S~ NE <br /> <br />PHONE: 364-6339 <br /> <br /> ITEM <br />GAS CONNECTION <br />DOMESTIC WOOD STOVE <br />MECHANICAL BASE FEE <br />MECHANICAL STATE, <br /> <br /> PAYEE: Willal~ett <br /> RECEIVED BY: ~B_ <br /> <br /> ~ THIS LS A V~bIO <br />COHSTRUCTi <br /> EQUIREMENTB OF STATE <br /> ~LL BECOME NULL <br /> <br />QUANTITY AMOUNT <br /> <br /> I $7.50 <br /> $10.00 <br /> $0.98 <br /> <br />$20,,48 <br /> $0.00 <br />$20.48 <br /> <br />RECEIPT NO: 54163 <br />TYPE: CK CHECK ~: 2~9 <br /> ITS ISSUE DATE. IF <br /> FALLS TO MEET ALL <br /> ORDINAMCES~ THIS PERMIT <br /> <br />REMARKS: 6L, WS <br /> <br />DONALD E. WOODL, EY~ MAR~'2~(~[LJ~~'F~-~,~"E';?","B~''' <br /> <br />FORM # MC 15-5~ REV, 4/9~ ~OPY <br /> <br /> <br />