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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 588-5147 <br />CODE-A-PHONE 430 PM - 800 AM <br /> <br />ow~6~,TE: 08/01/99 TIME: <br /> <br /> CLEON. RODERIC <br /> <br />4:21=43p <br /> <br />RESiDENTiAL <br /> <br /> 680 MICHAEL <br /> AU~SVILLE <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUMSVI LLE <br /> <br />NO <br /> <br />4833 JtJNIPER CT N <br />KEIZER OR 97303 <br />PHONE: 393-0789 <br /> <br /> SITE NUNBER: <br />~^NC~/ALUATION: ZON[ <br /> <br />7930 <br /> <br />WIOTH <br /> <br /> DEPTH AR~A 25 UNITS 3S IRREG LOT 3W CORNbH ~ <br />75 190 14253.0 SF NO NO <br /> <br />51 <br /> <br />TYPE: I~ECRAN I CAI_ <br /> <br />CONTRACTOR. NO. <br />CLEON, RODERIC <br />4833 JUNIPER CT N <br />KEiZER OR 97303 <br />PHONE: 393-0?59 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />GAS CONNECTION <br />FLOOR ~4OUNTED UNIT HEATER <br />WALL HEATER <br />DOMESTIC RANGE HOOD <br />DOM EX]dST FANS & DRYER VENTS <br />OTHER (AS PER MECHANICAL CODE) <br />MECHANICAL SASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />17712 <br /> <br />TOTAg ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY ~MOUNT <br />1 $2, oD <br />I $6,00 <br />2 $12,00 <br />i $4.50 <br />2 $6.00 <br /> $0.50 <br /> $~0.00 <br /> ~3.84 <br /> 2.05 <br /> <br /> $46.89 <br /> $46,89 <br /> $0.00 <br /> <br />BALANCE DUE $0 00 <br /> <br />PAYEE. ;NVOICE NO~ <br /> <br />RECEIVED BY: PE ....................... TYPE: CHECK ~: <br /> <br />~ THIS IS A VALID PEF~T ~ THIS PER~IT EXPIRES 180 DAYS FRO~4 ITS 1,5.SUE DATE. IF <br />CONSTRtJCTION CEASES FOR A PER~OD OF 180 ~YS, OR IF ~ST~CTI~ FA~ TO NE~ ALL <br />REdIReCTS OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDINal, ~IS PE~IT <br />~ALL 8E~E NULL ~D ~ID. <br /> <br />REJVIARKS: GAS HTR FID FN /~ <br />DON.~LD E_ WOOOLEY. MARION COUNTY BUILDING OFFICIAL / BY ..................... <br /> <br />,-o.M ¢ uc ,~6 ney u..~ OFFICE COPY <br /> <br /> <br />