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MARION COUNTY BUiLDiNG iNSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SAI EM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />Other., <br />I have read and agree fo the terms Stated on the reverse Side of <br /> <br />CATE: <br /> <br />DATE: 01/31/90 TIME: <br /> ,SLITTER. RALPH <br /> <br />13~19~29 <br /> <br />90040-190 <br /> <br /> 890 9TH <br />AUIf~VILLE OR 9?$25 <br /> <br />USE OF BUILDING: <br /> <br />.... AU~SVILLE NO <br /> <br />SALEM OR <br />PHONE: 588-23?3 <br /> <br />100 <br /> <br />DELt4AR I I I <br /> <br /> SITE NUMBER = 8755 <br /> VALUATION: <br /> <br /> 25 8S 2W RS <br />A M E~,: UNllS: IRREG LOT: CORNER: <br /> 7400. BF NO NO <br /> <br />CATEGORY: <br /> RESIDENTIAL .; <br />OCCUPANCY: <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO'- <br /> <br />21654 <br /> <br />CONTRACTOR. NO. 1505 <br />SALE~I HEATING ~ .~4EET METAL INC <br />P.O. BOX 12005 <br />SALEM, OREGON <br />PHONE.+ 581-1536 <br /> <br /> ITF..~ <br />GAS CONNECTION <br />FORO AIR FURN 100000 BTU OR LES.5 <br />CORESTIC RANGE HOOD <br />DOM E>~ST FANS & DRYER VENTS <br />MECHANICAL BA,!ilE FEE <br />FLEET .¢¢JRCHARGE -ZONE 3 <br />MECHANICAL STATE ,SURCHARGE <br /> <br />QUANT I TY AMOUNT <br />1 $2.00 <br />1 $6.00 <br />1 $4.50 <br />3 $9. OO <br /> $10.00 <br /> $2.84 <br /> $1 <br /> <br />TOTAL AS,SES~ED FEES <br />PREV I OLL~ RECEIPTS <br />THIS RECEIPT <br /> <br />$36.92 <br /> $0.00 <br />$36.92 <br /> <br />BALANCE I:~.IE $0.00 <br /> <br />PAYEE: SALEM HEATING & SHEET METAL INC, INVOICE NO: 22962 <br />RECEIVED BY: P8 TYPE: IN CHECK ~: 0 <br /> <br /> THIS IS A VALID PERMIT * THIS PER~IT EXPIRES 180 DAYS ~ <br />~TI~ ~ ~ A ~I~,~ 180 ~,. ~ IF ~T[~ FAI~ ~ ~ ALL <br /> ~IS ~IT <br /> <br />RFJ4ARKS: GAS FUt~N HD FN <br /> <br />0ONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />