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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO 225 <br /> 220 HiGH STREET NE <br /> ~. $~ALEM, OREGON 97301 <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4::30 PM - 8:;00 A M <br /> <br />ow([ICiTE: 0'5/23789 TIME: 1.+55: 16D <br />SiTUSADDR~ssLOU ~tS LUMBER MFG <br /> <br />MARION COUNTY NO <br /> <br /> 9493 PORTER RD <br />AU~SVILLE, <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CC~ERCIAL <br /> <br />OCCUPANT LOAFJ <br /> <br />PO BOX 199 <br />AUMSVILLE OR 97325 <br />PHONE: 749-1808 <br /> <br />35. OO00 <br /> <br />SITE NUMBER.' ?0g0 <br />RaNG~/ALUATION: <br /> <br />AC NO NO <br /> <br />MAP <br /> <br /> 6O <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LOU MAC'S LUMBER MFG <br />PO BOX 199 <br />AUIV~VILLE OR 97325 <br />PHONE: 749-1800 <br /> <br /> ITEM <br />OTHER (AS PER MECHANICAL CODE) <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: LOJ HAC'B <br />RECEIVED BY: ~ <br /> <br />9016199 <br /> <br /> TOTAL ASSE~EDFEE~S <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $4,50 <br /> $10,00 <br /> $3.84 <br /> <br /> $19.07 <br /> $0.00 <br /> $19.07 <br /> <br /> $0,00 <br /> <br />LUMBER MFG /yyf~ : RECEIPT NO~ 17233 <br /> ...._ ..... <br /> <br />* THIS IS NOT A PER~IT. THIS APPLICATION MUST GO THEOUOH A R~FIEN PROCESS t~HERE THE <br />FOLLOWING MUST BE COMPLETED.: IT: ~rS THE: REE~SIBILiTY OF THE APPLICANT TO ASSURE THAT <br />ALL NECBS~AI~ INFOI:~I4ATI0bl HAS BEEN P~3VIDED.: <br /> <br />PLAN R~/IEW: BY .......... DATE <br />R~MARK$: ~7655 <br /> <br />CITY JURISDICTION: BY <br /> <br />DATE <br /> <br />FO~ · uo I~S~ ,~v 11,88 OFFICE COPY <br /> <br /> <br />