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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, ORbGON 97301 <br /> <br /> PHONE;588-5147 8:00- <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other__ <br /> <br />t~is document, <br /> <br /> ELLIOT, <br />ADDRESS: CONSTRUCTION TYPE; ' OCCUPANCY: <br /> <br />RE~tDENFZAL <br /> <br /> 10886 ~'rIEIN~P RD SE 6Of~T~T'~ITY: !0GS: OccuPANT LOAD: <br />AUMSVi LLE OR 9?325 <br /> <br />.... CANELLIA HEir:rs ~1 <br /> <br /> SA~E <br /> <br /> PHONE: 769~'7693 5I'I'E NU~ER; 92-018'71 <br /> VALUA'JiON: <br />LOT: (SLO~Ki : SECTION: : TOWNSHIP: ( RANGE: [ ZONE: MAP: <br /> <br />TYPE: MECHANICAL PER~4i'f' OR APPLICA'f'tON NO: 40016 <br /> <br />CONTRACTOR, NO. <br /> <br />1935 Si"lverton Rd NE <br />Sa]em, <br />PHONE: 363.~23~4 <br /> <br />OTHER ('~S PER ~ECHANtOAL CODE) <br />~ECHAN~CAL BASE FEE <br />~EC~ANZCAL STATE SURCHARGE <br /> <br />PAYEE: Je~ Heating <br /> <br />TOTAL A~ESSEO FEES <br />PRE¥IC, A~S RECELPTS <br />TH.IS RECEIPT <br /> <br />QUAN'f'/7'Y <br /> <br />AP~OUN'~ <br /> $26_00 <br /> $~0.00 <br /> $~.80 <br /> <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 420~3 <br /> <br /> RECEIVED BY: D¢4 .......................................................................................................... TYPE= CK CHECK ~= <br /> <br />~ THIS IS A VALID PE~4iT * THiS PER~IlT EXPIRES 380 BAYS FRO~4 iTS ~SSUE DATE. iF <br />CONSTRUCTION CE.A~E~S FOR A PERIOD OF 180 ~YS, OR iF ~ST~CTi~ FAi~ TO MEET ALL <br />~iR~TS OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~ING ORDIN~CES. THiS PE~IT <br />~ALL BEdE NULL ~O VOID. <br /> <br />REMARKS: 3-15 TON HEAT F,'tJMP/2 P'uRN DUCTS { ~ / ~ <br />DONALD E- WOODLEY, MARION COUNTY BUILDING OFFiCiAL / BY .................................................. .~ <br /> <br />OFFICECOPY <br /> <br /> <br />