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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> NECHANICAL PER~IT <br />DA?E/TIH£ : 10/03/75 1~:21 PE~IT NO : ~5-16525 <br /> <br />OCCUPAHCY = R-3 ISSUE~ : 10/8J/1~5 <br />WI')RK I)ESC : WOOD STOVE <br /> <br />S:I:'I Z ADDRESS : <br /> <br />C, ROSS STRI!!:ET." <br /> <br />PARCEL NUMBER <br /> <br />A P P L, I C <br /> NAME <br /> ADDRES~ <br /> <br />PNOI,!E <br /> <br />10d, 05 WALDO FilLLS DR ,.SE AM CITY: MARION COUNTY <br /> <br />HWY 22/I..IW7 214/L. EPT ON WALDO HILLS/IST L ON 6RAVEL RD <br /> <br /> ZONE: EFIJ <br /> <br />OLS(')N,.~AHES D & CAI,IDIBE B <br /> <br />97~01 <br /> <br />: HOME FIRE S'iOYE <br />: 1695 MARKET ST Isle <br /> SALEM, OR <br /> <br />: ~64-6SJ9 <br /> <br />CONTRACI'OF; : W]:I..LAHETTE WOODSTOYES ]:IGC <br /> PHONE : ~64--6STr;9 <br /> <br />OI;.b:E . 486~0 <br /> <br />Uei't:'s Descr :i,Q t:ion ....................................... Fee <br />........ I ..................... B],'~iT' T~'~:F ........... · ............................ <br />:[ Wood stovm;i/f:i, replaces 7,, 5e <br />i S't:'at'e surcharge .88 <br /> <br /> Assessed fees 18,, ~8 <br /> Ad ~u= ~,~e~ts .00 <br /> Total fees 18. <br />PAYFF .~ .... .~. .............. '¥'o?a 1 payl~eot's: 1~. ~ <br /> ,, ............. .,-.. Balanc8 d [.~(( ,. <br />~x(*~,x{*** ************************************************************************************* <br />TWI~ PERMIT iS NON-T~ANSFERA~LE AND EXPIRE~ 18~ D~YS FRO~ ~S~UE DATE IF ~K <br />NOT COHNEflCED~ OR IF CONSTRUCTION CEASES FO~ A PERIOD OF 18~ DAYS, OR IF WORK <br />WRITTEN REGUEgT~ OHE SIX (5) MONTH EXTEHSIDH M~Y ~E GRANTE~. <br /> <br />S]:GNA'f'IJRE OF' APPLICAN'f: <br /> ........................................................................... <br /> <br />DONALD E WOODL,EY~ MARION COUN'rY BUILDING OFFICIAL / BY DSTONE <br /> <br /> <br />