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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE=, <br /> SALEM, OREGO~ 9730~ <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am a registered builder OR { ) the authorized representative SIGNATURE OF APPLICANT'. <br /> of a registered builder, <br />( The work will be performed by a registered builder. <br />I Other. <br /> <br /> DATE: 07/02/92 TIMEr 7:25:47 <br />!'d~t~ ~: ¢ fAX 'Lb'el I CATEGORY: <br />i' AUMSVILLE FIRE DEPT. i · RESIDENTIAL <br />I , <br />l~iTU9 ADDRE~'. I CON~TRUCTfON TYP~ ~CccuPANcY: <br /> <br />'.USE OF BUILDINg: ,N0 0F BEDROOMS: <br /> <br /> SITE NUHBER: 92-024~7 <br /> PHONE: VALUATION: <br /> <br /> ' ' NO NO <br /> <br />TYPE: MECHANICAL PERHIT OR APPLICATION HO: 40989 <br /> <br />CONTRACTOR, NO. 0[505 <br /> Salem Heating & Sheet Metal In <br />PO Box 12005 <br />Salem, 97309~0000 <br />PHONE= 581-~536 <br /> <br /> ITEM QUANTITY AMOUNT <br />AIR HANOL UNIT TO 10000 CU FT 1 $4~50 <br />MECHANICAL RASE FEE $10.00 <br />MECHANICAL STATE SURCHARGE $0.73 <br /> <br />TOTAL ASSERSEO FEES $15.2~ <br />PREVIOUS RECEIPTS $0.00 <br />THIR RECEIPT $15.23 <br /> <br /> B~L~NCE DUE <br /> <br /> $0.00 <br /> PAYEE: Salem Heating &, Sih~:~::~He~a;i:,Inc] INVOICE NO: 43025 <br /> RECEIVED BY: OM2_____~_~__=__~L~2~iL:~:~ TYPE: CK CHECK ~: 30303 <br /> <br /> * THIS IS A VALID FROH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF?~ZSD:BAY$:,~ OR:=IF::CONST~UCTION FAILS TO NEET ALL <br />EQUIREHENTS OF STATE LAWS;'ANDNARZONCOUNTYBUI~OING:AND iZONINO ORDINANCES, THIS PERMIT <br />SALL BECOHE NULL AND VOID; <br /> <br />REMARKS: <br /> <br />DONALO E. <br /> <br />AHU <br /> <br /> WOODLEY, MARION COUNTY 8UILDIN6 OFFICIAL / BY <br /> <br />PORM # ~c l~-~s*Ev, 4~o OFFICE COPY <br /> <br /> <br />