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MARION COUNTY E~UILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, (DREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-RHONE 4:30 P.M. - 8:O0 A.M. <br /> <br />have read and agree to the terms stated or, the reverse side of <br /> <br />O~E: 18/31/89 TIME: 4:21-'38p TAX ~.OT; <br /> <br /> BETHEL BAPTIST CHURCH <br /> <br />645 CLEVELAND <br />AUMEWI LLE OR 9?325 <br />USE OF DdiLD~b; AU1C~¥~(LLE ~ NO <br /> <br />COF~ERC'r AL <br /> <br />OCCUPANT LOAD; <br /> <br />PHONE*. 749-2128 : <br /> <br />1683 <br /> <br />NO . <br /> <br />TYPE: MECHANICAL PEF~IT OR APPLICATION NO: 19971 <br /> <br />CONTRACTOR, NO. 294? <br />STAYTON REFRIGERATZON <br />207 N 9RD <br />STAYTON, OREGON 97~8~ <br />PHONE: 769~3495 <br /> <br /> ITEM <br />GAS CONNECTION <br />HEAT PUMP <br />FOEC AIR FURN 100000 BTU OR LE~ <br />MECHANICAL BASE FEE <br />FLEET .~UI~ARGE -ZONE 2 <br />MECHANICAL STATE ~URCHARGE <br /> <br />MAP: <br /> <br />~)UANTITY AMOUNT <br />1 $2.00 <br />I $6~00 <br />1 $8,00 <br /> $10.00 <br /> $3.84 <br /> $1 <br /> <br />$29.04 <br /> $o.oo <br />$29.04 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: STAYTON REFRIGERATION INVOICE NO'. 21202 <br />RECE][VED BY'- c3 TYPE.' IN CHECK ~t~ 0 <br />~ THIS ]IS A VALID P~IT * THIS ~IT EXPIRES 180 DAy~ FROM I'1'~ I,~.c.C~E DATE. IF <br />COA~TRI/CTION CE.a~ES FOR A FALLS TO ~ ALL <br />~I.,i~REQULLIRE~E~TS OF STATE LAtCD /t~lD MARION:CCLINTY BUIL. DING ~ID ZONING O~DINANCES,. THIS PERI, IT <br /> L t~ECOME NULL AND VOID. <br /> <br />REMARKS: GA~ FUF~, HP <br /> <br />DONALD E. b~DODLEY, MARION CC&JNTY i~UILDING OFFIO~AL /8Y <br /> <br /> <br />