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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />( ) <br />(.~..)- <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-;'904 <br /> <br />o a registered bu der, <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br /> DA'rE; 01/27/92 <br />OWNER: <br /> NE'I'TER FRED <br />SITUS ADDRESS: <br /> <br />'f' I~6: 8: 2; ?8 <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br />OCGDPANC¥: <br /> <br />COf, I~ERCIAL <br /> <br /> 15082 OTTC~A¥ RD NE <br />AURORA OR 97002 <br /> <br />~i'flARION COUN'f'Y , NO <br /> <br />PHONE: 6'18-5614. <br /> <br />118. AC <br /> <br />TYPE'. ¢,IECHAN l GAL <br /> <br />CON'rRAc'rOR, NO. <br />NETTER FRED <br />SAr4E <br /> <br />PHONE: 6'i'8-5614 <br /> <br />PER'Il' OR APPLICA'flON NO: <br /> <br /> I 'FE~ <br /> CONNECTION <br />FORC AIR FURN 100000 BTU OR L~ <br />~IECHANICAL t3ASE FEE <br />t4EC,.'HAN,[CAL STATE E:;URCHARYJE <br /> <br /> SiTE NUIV~ER: 92-00494 <br /> VALUA'r I ON; <br /> <br /> 1 N EFU <br />i t~RFIEG LOT: cORNER: <br /> NO : NO <br /> <br />38046 <br /> <br />TOTAL .AE~ED FEES <br />PRE:-'/1E.'~JS RECEIPTS <br />THIS RECEIPT <br /> <br />(~AN'I' I TY ,eO4OU N 'T' <br />1 $2.00 <br />1 $6.00 <br /> $10_oo <br /> $0.90 <br /> <br />$18.90 <br /> $0_00 <br />$18.90 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RA~EE: NE'F"r'ER FRED ~^.C~ :RECEIPT NO: 40026 <br /> RECEiVED BY: fAB ~l/V~ TYPE* CK CHECK <br /> 2946 <br /> * THiS IS A VALiO PERI~II~ * 7THIS:pERI'lIT EXPIRE~ 180 DAY8 F~ iTS I~E ~TE. <br />~ST~TI~ C~ ~R A PERIOD 0F 180 ~, OR iF ~ST~CTI~ FAI~ TO REE~ ALL <br />~iR~T~ OF STATE ~ ~0 ~Ri~ ~NTY 8UILOIN6 ~O Z~I~ OROiN~C~, THIS PE~IT <br /> L BEdE NULL ~D ~iD. <br /> <br />R~ARKS; GAS O~NN & PURN <br /> <br />DONALD E. NOODLEY, f,IARiON COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.58 REV, 4leo <br /> <br /> <br />