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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 586-514"7 <br /> CODE-A-PHONE 4:$0 P.M. - 8:00 A.M; <br /> <br />of a registere~ builder, <br /> <br />o~T~: 07/2~/88 T~t¢~: S:S6.'08p y ...................................................................... <br /> ~ AX LOT: CATEGORY: <br /> <br /> ,SLITTER, P-ALPt~{ ~ R~IDENTZAL.. <br />SlrUS ADDRESS: ~ CONSTRUCTION TYPE; OCGUPANCY~ <br /> <br /> 940 9TH ST ~ES;-+~+"~;~;"-""":-"~ <br /> AU~V[LLE OR 97325 ~ : ~,~: <br />US~ OF BUILDING. ~N0 0F BE9R00MS <br /> <br /> ~,~ <br /> PO BOX 12~ <br /> <br /> ~E: 588-2373 ~ SITE NU~ER: 4989 <br /> <br /> 5 ; 24 ~ aS ~ .............. 2N ......... $~c~ ~.. -~I <br /> DEPTH: ~ AREA: ] UNIT~: IR~E~. LOT'. <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO.· 9009937 <br /> <br />CONTRACTOR, NO. 43505 <br />RALPH E~TTER <br />PO BOX 12533 <br />SALEM 97309 <br />PHONE: 588-2373 <br /> <br /> ITEM <br />FLOOR MOUNTED UNIT HEATER <br />DCt4ES'TIC RANGE HOOD <br /> <br />QUANTITY AIVDUNT <br />7 $42.00 <br />1 <br /> <br /> $4.50 <br />DOM EXHST FANS & DRYER VENTS 1 $3 +00 <br />MECHANICAL BASE FEE $10.00 <br />FLEET SURCHARGE -ZONE 3 ' : : $3.84 <br />MECHANICAL STATE ,.~JRCHARGE ,,,;:;:,~ $2.99 <br /> ::, . '.,:; , <br /> <br /> : :TOTAL ,~8~ ~FE~:, $66.32 <br /> ~:[~ ':," $~8132 <br /> <br />PAYEE: F~ALPH SUTTER ;:' ~\ \" NO! 10623 <br />RECEIVED BY*. ON , ,CHECK ~;. 0 <br />~< THIS IS NOT APE. RN!T. THTS APPLZC.;AT,[~N MUt~Y:~O,~ A REVIE~ PROCESS I~HERE THE <br />FOLLON1'NG MUST 8E COI~IPLETED. :THE~ RESI:~N$1'BIJ_ITY OF THE. APPLICANT TO ASSURE THAT <br />ALL NECESSARY ~'NFORI~IAT3'.ON HAS BEI~',I PROV,IDED; J:" <br /> <br />PLAN REVIEN: BY DATE <br />REtCARK~: ? HEATERS/RGE HOOD/FAN <br /> <br />CITY JURISDICTION: 8Y DATE <br /> <br />.O~M ,, M~: ,,~ s~ ~v ~/~ OFFICE COPY <br /> <br /> <br />