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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NF <br /> SALEM, OBEGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />.m ~r mn wr ' <br />I a¢1 a registered builder OR the authorized representative SIGNATURE O~ APPLICANT: <br />of a registered builder, <br />The work will be performed by 8 registered builder, <br />Other_ <br /> <br /> DATE: 08/28/92 ?I~E: 16:07~46 <br /> P~TTERL~, ~L~S~ K 4026~000 CO~HERC~L <br /> <br /> ~,0575 CHAMPOEG RD NE <br />AURORA OR 97002 <br /> <br />R~,:[ ~'¢~UNTY: t¢~: iOCCUPANT LOAD: <br /> <br />USE OF BUILDING: <br /> <br />MAILING ADDRESS; <br /> <br />J, 0569 CNAHP08G RD <br />AURORA, OR 97002 <br />PMONE: 678~1228 <br /> <br />SITE NUMBER: 92-01859 <br />VALUATION; <br /> <br />LOT: <br /> <br />WIDTHI <br /> <br />BLOCK: SECTION; TOWNSHIP; RANGE; ZONE: MAP: <br /> 6 4S 1W EFU 4 <br /> <br />TYPE: HECHANICAL <br /> <br />CONTRACTOR, NO. <br />PITI'ERLE, EL. ISE K <br />10369 CHANPOEG RD <br />AURORa, 0R 97002 <br />PHONE; 678-1228 <br /> <br />PERMIT OR APPLICATION NO: 42229 <br /> <br /> ITEM <br />00H EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: PITTERLE, ELISE K <br /> <br />TOTAL A~SESSED FEES <br />PREVIOU~ RECEIPTS <br />THIS RECEIPT <br /> <br />8AL. ANCE OUE <br /> <br />QUANTITY <br /> 1 <br /> <br />RECEIPT NO: <br /> <br />AHOUNI' <br /> $3,,D0 <br /> $10.00 <br /> $0.88 <br /> <br /> $0. O0 <br /> $13 8 <br /> <br /> $0_ O0 <br />44288 <br /> <br />RECEIVED BY: cl TYPEs ca CHECK ~:: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE~ IF <br />CONSTRUCTION CEASES FOR A PERIO0 OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REHARXS: bathrm fan <br />DONALD E. WOOOL,,EY, MARION COURTY BUILDING OFFICIAL / BY ........... ~ ...................................... <br /> <br />OFFICE COPY <br /> <br /> <br />