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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22.5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> of a registered builder, <br /> <br /> DATE= 10/05/87 TIME; 3;35;43p <br />OWNER: <br /> HUCFMAN, ROBERT <br /> <br /> 10942 GARMA CT <br />TURNER <br /> <br />USE OF BU[LOINGi <br /> <br />MAILING <br /> <br />1745 STARLITE DR <br />SALEM, OR 9?304 <br />PHONE: 371-6547 <br /> <br />lOT: BLOCK: <br />4 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> /'-2 ,, ____ <br /> ~,~N^TU.~ O~ ^~UC^NT, .... ~~'¢~///¢¢~-'--~''/ <br /> <br />NW <br /> <br /> : CATEGORY: <br /> <br />OR 9~392 <br /> <br />CONMER I CAL <br /> <br /> SITE NUMBER: 2175 <br /> VALUAT ION; <br /> <br /> ? 9S ~ 2W I AR <br />?.~sooo ~ AC i NO <br /> <br />TYPE: MECHANICAL PEI:~IlT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />HUFFMAN, ROBERT <br />1745 S'TARLZTE DR NM <br />SALEM, OR 9?304 <br />~ONE: 371~6547 <br /> <br /> ITEM <br />FORC AIR FURN 100000 BTU OR LE,5~S <br />DOMESTIC WOOD STOVE <br />DOM EXHST FANS & DRYER VENTS <br />GAS WATER HEATER <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 2 <br />HECHAN~CAL STATE SURCHARGE <br /> <br />4806 <br /> <br /> TO~AL:A~ESsEb;:FEES <br /> PREVZOUS'RECSIPTS <br />:, THIS;RECEIPT ' <br /> <br /> :BALANCE DUE <br /> <br />C~ANTITY AMOUNT <br />1 $8.00 <br />! <br />3 $9.00 <br />1 $?.5~ <br /> $10,00 <br /> ~2.55 <br /> 2_00 <br /> <br />$44,55 <br /> $0,00 <br />$44_55 <br /> <br />$0_00 <br /> <br />PAYEE: HUFFMAN, ROBERT ,: :::' i RECEIPT NO: 5~,62 <br />RECEIVED BY: JB _~ ii; 'CK CHECK :~: 4?3 <br /> <br />* TH]IS IS A VALID PE~IT * ~IS ~E~ ~Pi~;:',180 ~,F~ ,ITS I~E ~TE. IF <br />~T~CTI~ C~ FOR A FAI~ TO ~ ALL <br />RE~IR~ OF STATE ~ '~O '~I$ ~N~ BUt~DtNG" ~:D:::Z~N60RDI~C~, ~IS P~IT <br />~ALL 8E~ NULL ~O ~ID. : <br /> <br />DONALD E. WOODLEY, MARION COUNTY 80ZLOINO O~FICIAL /~? ...... Z_ _ <br /> <br />OFFICE COPY <br /> <br /> <br />