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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lenm~ster Dr. N.E. · Suite C · ~Mem, Oregon 97305-1398 <br />Office Houm: 8:00.4:30 * Phone: (503) 58~-8147 * 24-HR bmpectlo~ Line: (503) 373-4427 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <br /> <br />OWNER · <br />APPLICANT <br /> <br />: FREESTANDING GAS STOVE <br /> <br /> 1032B CHAMPOEG RD NE AR <br /> <br />i.'CUNNINGHAM,ROLAND E & ~AYL E <br />· CUNNINGHAM, ROLAND <br /> <br />LOCATOR: ~41WO6D ~110~ <br /> <br /> · CITY: MARION COUNTY <br /> <br />ZONE: EFU <br /> <br />PHONE : HA <br /> <br />CONTRACTOR : CHIMNEY CRICKETS OF HCMINNVILLE OCC~: OB78355 <br /> PHONE : 472-B57] <br /> <br /> t.lntt~ Oe~cr~p~ion Fee <br /> Base tee 1~.~ <br /> I Floor Mounted heaters <br /> I State surcharge <br /> t Refund 'BB <br /> <br /> AsSessed fees: I~.BO <br /> Adjust~s <br /> Total fees , . 16.8~ <br />PAYEE: ~tlNHINGHAM~R~.AN~ Total pa~ents~ 16.BB <br /> <br />************************************************************************** <br />THIS PERflZT 'IS NOH-TRM~FERABLE MID EXPIRES 1~ ]I~YS F~R(~_ IS _S~F: <br /> <br />SIGNATURE OF APPLICANT: ~" .... ' <br /> <br />~ONA[.D 5 .WOO~LE7~ MARION COUNTY BU~LDI~ OFFICI~ / <br /> <br /> <br />