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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br /> DATE: 10/05/92 TIME: 11:44:21 <br /> <br /> ANDAL. D.F. A G.J, RESlOENTIAL <br />S~TU§ ^OORESSl CONSTRVCTION TYPE'. ! ~CCUP^NO¥: <br /> <br /> 7757 SHERMAN RD SE jOC6uPANYLOAD: <br />AUMSVI'LE OR 97s s <br /> <br /> CAMELLIA HEIGHTS NO.3 <br />510 SW 7TH " <br />SUBLIHITY OR 97~85 SITE NUHBEE: 9~-0~53~ <br />PHONE: 769-5969 : V~LU~TION: <br /> <br />[,OT; : ~LOC~(; ~ SECTtON: fowhs~iDi ..... :'~'~} i ~(JN~; MaP: <br /> 2 I 29 8~ :LW AR 48 <br /> <br />TYPE: HECHANiCAL PERMIT OR APPLICATION HO: 42979 <br /> <br />CONTRACTOR~ NO. 00499 <br /> C J Hansen Co Ina <br />PO Box 7597 <br />Salem, 97303-0000 <br />PHONE: 362-5643 <br /> <br /> ITEM <br />HEAT PUMP <br />FORO AIR FURNACE UNDER 100000 BTU <br /> MECHANICAL 8ASE FEE <br /> MECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $6.00 <br />1 $6.00 <br /> $10.00 <br /> $1.10 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$23.10 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 : <br /> <br />PAYEE: C J Hansen Co Inc RECEIPT NO: 45059 <br />RECEIVED BY: PM ................................ TYPE: CK CHECK ~: 18131 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 OAYS FROH ITS iSSUE OATE. IF <br />CONSTRUCTION CEASES FOR A PERIOO OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENT$ OF STATE LAWS AND MARION COUNTY BUILDING AND ZOM[HG ORDINANCES, THIS PERHIT <br />SALL SECOHE NULL AMD VOID. <br /> <br />REMARKS: F/A FURN~ HT PMP <br /> <br />OONALO E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />OFFIC~ COPY <br /> <br /> <br />