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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 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />~T~:: 12/29/89 TINE: 11:a5;10 <br /> JENSEN, ARNOLD H <br />SITUS ADDRESS: <br /> <br />TAX LOT: CATEGORY; <br />CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 390 DETROIT RD -- :~CNYRACTOITY: UGB; <br />DETROIT OR 9?345 <br /> DETROIT NO <br /> <br />USE OF BUILDING: <br /> <br />MAILIN~ ADDRESS: <br /> <br />P.O. 8OX 556 <br />DETROIT, ORE 9?342 <br />~>HONE: 538-3889 SITE NU~ER: 9125 <br /> VALUATION: <br /> LO~: BLOCK: ¢$EGTION: i¥OWNSHIP: ' ;RANGE': izoNE: MAP; <br /> <br />0 + NO NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />JENSEI4, ARC4OLD H <br />P,O, BOX 556 <br />DETROIT, ORE 9?342 <br />PHONE: 538-3869 <br /> <br /> ITE~ <br />DONESTIC V,~DOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE ? <br />NECHANICAL STATE SURCHARGE <br /> <br />21080 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $?.50 <br /> $!0.00 <br /> $8.96 <br /> $0.88 <br /> <br />$27.34 <br /> $0.00 <br />$27.34 <br /> <br />BALANCE DUE $0,00 <br /> <br /> PAYEE: JENSEN, AF~4OLD H INVOICE NO; 22323 <br /> RECEIVED BY; CL TYPE.+ :IN CHECK ~: O <br />~< THIS IS A VALID PE~iT * ~IS ~IT ~PI~ 180 DA~ F~ ITS I~E ~TE. IF <br />~T~CTI~ C~ ~R A ~[OD OF 180 ~; OR IF ~CTI~ FAI~ TO ME~ ALL <br />~i~TS OF STATE ~ ~O ~[~ ~N~ 8UILDIN~ ~D Z~I~ ORDIN~C~, ~IS PE~IT <br />~ALL 8E~E NULL ~O ~ID. <br /> <br />REMARKS: N~ <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL /BY <br /> <br />fORM ,, ~C: ~:~ ~,, REV ~/8~' OFFICE COPY <br /> <br /> <br />