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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> 220 HIGH STI:~ET <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: $88-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I am a registered builder OR ) the authorized representative <br />et a reglstered builder. <br />The work will be performed bi/a registered builder. <br />Other <br /> <br />I have read and agree to the terms stated on the reverse aide of <br />this document. <br /> <br />S~TUS ^DD~ESSWUBER, EARL <br /> <br />DONSTRUCT ON TYPE ~CCUPANC¥ <br /> <br />RESiOEN]iAL <br /> <br /> 2qo 8ur'rE <br />US~DLI~&: · OR"--gq3~2 <br /> <br /> CONTRACT OIT~ <br /> <br />N~ <br /> <br /> OETROi'f <br /> <br />NU <br /> <br /> PO t~OX 452 <br /> DE T'ROI l' OR 9'/';J4,2 <br /> PHONE: 854~36 lr5 <br />LOT. BLOCK. SECTION TOWNSHIP; <br /> <br /> HAMMOND <br /> <br /> 5 i'1'E NUMBgR: <br />RANeCALUA'f'iON ." ZONE <br /> <br />93?5 <br /> <br />AREA <br /> <br />UNITS RREG LOT <br /> <br />CORNER <br /> <br />fYPE: MECHANICAL <br /> <br />CONTRACfOR, NO, <br />HUBER, EARL <br />PO BOX 452 <br />OE'i'RO~'f' OR 9?342 <br /> <br /> i'fEM <br />BOMEB'IIC HOOD STOVE <br />MECHANICAL BANE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: HUaER, EARL <br /> <br />PER~4iT OR APPLICATION NO: <br /> <br />35813 <br /> <br />T0'.1'AL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />TH,i;~, RECEi PT <br /> <br />(~AN'T'I'1'Y AMOUNT <br /> ~ $'7,50 <br /> $10.0u <br /> $0.9S <br /> <br />$18,38 <br /> $o,oo <br />$18.38 <br /> <br />BALANCE <br /> <br />INVOICE NO: 3'772'? <br /> <br /> RECEIVE0 BY: 0~2 .......................................................................................................... TYPE: iN C~ECK <br /> <br />~ THiS IS A VALID PER~IIT * THiS PERffilT EXPIRES 180 DA'¢~ FR~ ITS iSSUE DATE. IF <br />CONSTRUCTION CEASIgS FOR A P~RIODOF 180 DA~. OR IF ~ST~CTI~ FAi~ TO M~T ALL <br />~iR~TS OF STATE ~ ~D ~l~ ~NTY BUILDING ~D Z~iNG ORDIN~C~. THIS <br />~ALL BEdE NULL ~O VOID. <br /> <br />R~MARK~: EXIS'flNG ~ <br /> <br />E~NALO E. WOODLEY, MARION COUNTY 8UILOING OFFICIAL / 8Y <br /> <br /> <br />