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MARION COUNTY BUILDING INSPECTION <br />SENAT,OR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-$147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or Ccc Jpy <br /> I 8m a registered builder OR ~he authorized repfesenta ive <br /> of a reg{stered builder, <br /> l'lqe work will be performed by a registered builder. <br /> Other <br /> I have read 8nd agree to the terms stated on the revem¢ side of <br /> this document <br /> <br /> DARE: 12/2'f/91 'TINE: 10:41:45 <br />OWNER: <br /> BALLANC~:;, JEFF <br />S[t'U S AOOBESS: <br /> <br />TAX LOT; <br /> <br />CONSTRUCTION TYPE: <br /> <br />: CATEGORY: <br /> OCCUPANCY: <br /> <br /> 20]42 OLIV~'fEAD ROAD NE <br />AUWORA OR 9Y002 <br /> <br />CONTRACT CITY; UGB: <br /> <br />,¢4ARiON ~ cou~4'r¥ NO <br /> <br />OCCUPANT LOAD: <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />:BLOOK: <br /> <br />: SECTION: TOWNBHIPi <br /> <br />SIf'E NU~ER: 15264 <br />VALUATION: <br />RANGE: ZONE: <br /> <br />UNITS: IRREG. gOT: <br /> NO NO <br /> <br />RES1DEN f IAL <br /> <br />MAP: <br /> <br />TYPE: NECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ 01911 <br /> K~"lfer$ inc <br />290 Young St <br />Woodburn, 97071-0000 <br />PHONE: 981-~5'11 <br /> <br /> I'fBN <br />HEA'r PUMP <br />MECHANICAL BASE FEE <br />MECHANICAL 5TA'f'E SURCHARGE <br /> <br />PAYEE: <br /> <br />3?52? <br /> <br />'TOTAL A3SE~ED FEES <br />PREVIOUS RECEIPTS <br />'T'HiS RECEIPT <br /> <br />QUAN'1'I'¥'Y AMOUNT <br /> 1 $6_90 <br /> $10,00 <br /> $0- 8D <br /> <br /> So.aa <br />$16.80 <br /> <br />BALANCE 0DE $0.00 <br /> <br />RECEIPT NO: 39505 <br /> <br /> RECEIVED BY: E,~2 "YPB' C~ CHECK ~. A?R? <br /> <br /> THIS IS A VALID PE~II'r ~ THIS PEF~IT EXPIRES 180 BAY~ FROM IT5 iSSUE DATE. iF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR iF OONSTRUCTiON FAILS TO ME~T ALL <br />RE~UiREME~4T5 OF STATE ~ AND DI&RION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />5ftALL 8ECOf4E NULL AND VOID. <br /> <br />REMARKS: HEAT PUMP <br /> <br />DONALD E- ~OODLEY, NAR,(ON COUN'f'Y BU.~LD.[NG QF'F"ICIAL, /' BY <br /> <br />OFFICE COPY <br /> <br /> <br />