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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 8;00 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am ~ registered builder OR the authorized representative <br /> <br />The work will be performed by a (egistured builder. <br />Other <br /> <br /> I have read and agree to the terms $(ated on the reverse side of <br /> this document. <br /> <br /> DATE: 04/28/92 'rIME: 15=07:55 <br />OWNER: <br /> SANI'IAN SANITARY SERV/BRENI'ANA, SAM <br /> <br />SIGNATURE OF APPLICANT: <br /> pATE: <br /> <br /> 56282-000 <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY; <br /> <br />OCCUPANCY. <br /> <br /> 9613 MiLL CREEK RD <br />AUMSVILLE <br /> <br />USE O¢ 8U~LO~Nd: <br /> <br />325 <br /> <br />CONTRACT CITY[ <br /> <br />AUMSVILLE <br /> <br />NO <br /> <br />SUBDIVISION: <br /> <br />PO BOX 189 <br />· ~LIMi'FY 97385 <br />PHONE: <br /> <br />,LOT: ~ BLOCK: <br /> <br />'WIDTH: 198BEPTH: <br /> <br /> SECTION: <br /> <br />254: AR~A: <br /> <br />30 <br /> <br /> SITE NUMBER: 92=00508 <br /> VALUATION: <br /> <br /> 1N 1NO <br />IRREG. LOT: yE]CORNER%o~ N <br /> <br />RESiDENTiA <br /> <br />MAP: <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO~ <br /> <br />CONTRACTOR, NO. 01505 <br /> S~"lem Heating & sheet M~tal in <br />PO Box 12005 <br />Sa'lmm, 97309-0000 <br />~E= 581-1536 <br /> <br /> il'EM <br />~JSPENDED HEA'FER <br />FORK; AIR F~RN OVER 100000 BTU <br />~ EXH$'r FANS & ORYER VENTS <br />AIR HANDL UNIT 'fO 10000 CU FT <br />MECHANICAL BA~E FEE <br />MECHANiOAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> $5.00 <br />1 $7.5o <br />2 $5.o0 <br />1 $4,5o <br /> <br />TOTAL ~ED FEE~ $35.70 <br />PREVIOUS RECEiP'FS $0.00 <br />THiS RECEIPT $35.70 <br /> <br />BALANCE E~E $0.00 <br /> <br />PAYEE: ~lem Heating & Sheet Metal <br /> <br />INVOICE NO: 41701 <br /> <br /> RECEIVED BY: DM2 , ................ =_ ........................................................ TYPE~ CK C~ECK ~: 30135 <br /> <br />~ THIS 1S A VALID PEI~I~T · THI~ PECtMIT .I~XP~RES ~80 OA~ .FRO~ ITS [~E ~TE. IF <br />~T~CT[~ ~ ~ A ~[OD OF 180,.~, OR IF ~T~CTI~ FA[~ TO MEET ALL <br />~1~ OF STATE ~'~ ~Ri~ ~NTY BUILDING ~D Z~IN60RDiN~C~, THiS PE~IT <br />~LL B~E NULL ~D <br /> <br />REMARKS** FURN/SUS HEATER/AHU/F'AN&VENI' <br /> <br />L~3NALO E. VCOODLE¥, MARiON COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 1 $-55 REV, 4/~3 <br /> <br /> <br />