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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:;30 P,M - 8::00 AM <br /> <br />OATF: I 1/1,4./88 TIME: 9;5I: 13,~ <br /> <br /> GARDNER. STEVEN & CARLA <br /> <br />i~ES I DENT ~AL <br /> <br /> 8764 SHAt4 SOUARE RD <br />~,UMSV ILL E OR <br /> <br /> SE <br />97325 CON ~'RACT CITY UGB <br /> ;~¢~R'f ON COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br />2590 BROWN RD <br />SALEM. OR 8?305 <br />~4ONE: 862~-0713 <br /> <br /> 24 86 <br />DEPTH ARFA 5. 09000 UNITS AC <br /> <br />SITE NUMBER: 5982 <br />VALUATION: <br /> <br /> RANGE ZONE <br /> AR3 <br /> <br /> I~ LOT NO CO R h,~ <br /> <br />MAP <br /> ~, 9 <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: 9012464 <br /> <br />CONTRACTOR, NO. <br />GARDNER. S-FEVEN & CARLA <br />2590 BROWN RD <br />BALEM, OR 9?305 <br />~'IONE: 382-6'113 <br /> <br /> ITEM <br />DOME%TIC RANGE HOOD <br />~IESTIC MOOD STOVE <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -Z~NE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />~ $4.58 <br />1 $7_50 <br />3 $9.00 <br /> $10.00 <br /> $3_84 <br /> $1.55 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: CORONER, ST~',/EN & CARL~ AC/J..." <br />R~CEIVED BY: dB .....................#7/" <br /> <br />$36.39 <br /> $0.00 <br />$38.39 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 13222 <br />TYPE: CK CHECK ~: 5815 <br /> <br />* THIS IS NOT A PER'lIT. THIS APPLICATION FldSt GO THROUGH A REVIEH PROCESS ~ERE THE <br />POLLO~ING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESS~I~ INFOR~IATION HAS BEEN PROVIDED. <br /> <br />~Ua,N REVIEW: BY ........... OATE <br /> <br />REM, RK,~: WOOD.STOVE VTS FANS HD <br /> <br />CITY JURISDICTION: BY <br /> <br />DATE .......... <br /> <br />OFFICE COPY <br /> <br /> <br />