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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 />~ am performing work on a property I own or occupy. <br />I am a registered builder OR he au horized rep esen ave SIGNATURE OF APPLICANT; <br />Of a registered builder. <br />The work will be performed by a registered builder, <br /> <br />Other,, <br /> <br />TYPE= MECHANICAL PERN'rT OR APPLICATTDH MO-' 60847 <br />CONTRAC'TOR~ NO. S7704 <br /> MEL' S ,STOVES <br />903 EI)GEWATER NW <br /> <br />FNONE: ;'J78 -¢&&2 <br /> <br /> ITEM ::: ::' :,:::: <br />DOF[ESTIC WOO~ STOVE <br />MEI~I4ANICA ~ASE F~E :, :: <br />M~%HANICAI,. STATE S[IROI-I~RGE ::'::, , :7 ' · <br /> <br /> EE~ <br /> <br /> PAYEE;: HENRY WALL. lNG( <br /> kl:. ~IYE D BY: <br /> <br /> ~ T~IS IS A VALID <br />CONSTRUCTION CEASES FOR <br /> EQUIRE~E~TS QF STA~E <br /> ALL BECOME NULL AMB <br /> <br /> . ,.~A K:~, PEI.,LE;' STOVE <br /> <br /> QUANTITY AMOUNT <br /> 1 $7.50 <br /> $1~,,00 <br /> $0 ,, 8[3 <br /> <br /> $18. <br /> $0.00 <br /> $18. <br /> <br />:::, ~:: RECEIPT NO: 6348e <br /> ::TYPE= OK 6NECK ~ 1439 <br /> <br /> ISSUE DATE. <br /> TD HEET ~LL <br /> ORDZH~HCES~ TH~S PERH]T <br /> <br />MARION COUI, TY BUILDING OFE]CICL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />