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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />'~ALEbl, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br /> I am performing work on a property I own or occupy. <br /> <br />DATE: 09/30/87 TIME: 1:48;54p <br /> <br /> N IXION, CLEATUS <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT~ <br /> <br />: CATEGORY[ <br /> <br />0CCU~ANCY: <br /> <br />COMMERICAL <br /> <br /> 3?5 CLEVELAND ST { CONTRACT CITY'. ; UGS: OCCUPANT <br />AUMSV I LLE OR 97325 A; ~ <br /> I~MSVI LLE ; NO <br /> <br />MAILING ADDRESS: <br /> <br /> SAME <br /> <br /> PHONE; ?49-2'758 <br /> <br />LOf: BLOCK: <br /> <br />wlgfH: DEPTH: <br /> <br />SUBDIVISION: <br /> <br /> SITE NUMBER: 2681 <br /> ; VALUATION: <br />[TOWNSHIP: <br />' <br /> U'N I+S: I IRREg. L6f: ;CORNER: <br /> : NO i NO <br /> <br />MAP: <br /> <br />'TYPE~ MECHANICAL <br /> <br />CONTRACTOR, NO. <br />NIXION,CLEATUS <br />SAME <br /> <br />PERMIT OR APPLICATION NO: :4699 <br /> <br />PHONE: ?4.9-2?58 <br /> <br /> ITEM <br />WALL HEATER <br />MECHANZCAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: NIXION,CLEATUS <br /> <br />QUANTITY AMOUNT <br /> 1 <br /> $10..00 <br /> $3.84. <br /> <br />TOTAL,AssESSEDFEES $20,64 <br />PREVIOUSREOEIPTS ~0.00 <br />TH~S'RECE~T ::~ $20.64 <br />:BAZLANCE,JD(JE $0.00 <br /> <br />INVOICE NO: 5257 <br /> 0 <br /> <br />RECEIVED BY: CL ............. , ....... TYPE: IN CHECK ~: <br /> <br />* THIS IS A VALID PERMTT ~; ]'HIS Ig'ERNIT EXPZRB 1;~0 :~YS,,FROM 1'TS TS.SUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS,': OR:'~['F. ~STRUCTION FAILS TO MEET ALL <br />REC~IRENENTS OF STATE COUNTY ::BU[LD~NG;:~D ZONING ORDINN~;ES. THIS ~IT <br />,?~LL BECOME NULL AND VOID; <br /> <br />REMARKS; WALL HEATER <br />OONALD E. WOODLEY, MARION COUNTY BUILDING:OFfICIAL / BY <br /> <br />OhM ,, ~C ~:,.~ .~V ¢~7 OFFICE COPY <br /> <br /> <br />