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MARION COUNTY BUILDING INSPECTION <br />SSNATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />I am performing work o¢1 a property I own or occupy. <br />I am a registered builder OR ( ) the authorized representative $ GNA'FORE OF APPLICANT;, <br />O a reg s ered builder, <br />The work will be pertormed by a registered builder, <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />SAME <br /> ~ITE HUMBER: 9~-~477 <br />PHONE: 749.,,,!550 VAL. LJAT i0N: <br /> <br />TYPE: HECHAHI~AL PERMIT OR APPLICATION WZ8: 48161 <br /> <br />00N'fRACTOR,z NO. <br />CRAIG.~ MJDT.LL & ANN <br />SAME <br /> <br />PHONE: 747--155~:~ <br /> <br />GAS CONNECTISbt <br />F'ORC AIR F'URNACiE UNDER 10(4000 BTU <br />58H EXHST FAI,IS & DRYE]; VENTO <br />HECHAN]'.CAL BASE FEE <br />MECI,,IAN'[CAi.,, STATE SURCHARGE <br /> <br />TOTAL ASSESSEB FEI.-]O <br />F'I;'E'¥I ] JE RECETPI'S <br />l'HIS RECEIPT <br /> <br />[~ tJ A N T :[ T Y A M 0 U N 't" <br /> I $2,00 <br /> <br /> $9.0~1 <br /> $10.00 <br /> $1.35 <br /> <br />$28,,35 <br /> $0.00 <br />$28,35 <br /> <br />BALANCE DUE $0.00 <br /> <br /> P~¥EE: CR~I,C.,,,, HERtL, & ANN RECI~IPT NO: Z0450 <br /> RECEIVED I)Y,; ~H2 ...................................................... TYPE= CK CHECK ~ 899~ <br /> <br /> * THIS IS A VALID PERHiT * THiS PER~iT EXPIRES 18~ DAYS FROM ITS ISSU~ DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF !B8 DAYS~ OR IF CONSTRUCTION FAILS ~0 MEET ALL <br /> EBUIREflENTS OF STATE LAWS AND MARIOH COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME ~ULL AND VOID. <br /> <br /> REHARKS: GAS I_N/F'URN/2 FAi,JS/VEi~T ~ . <br /> !)ONAi,D E,, WOODLE~,, HAEtON COUNTY BUILDING O:F' CIAL / B~ ................................................................................... ~ <br /> <br />FORM # MO 15-56 REV, 4/¢0 OFFICE COPY <br /> <br /> <br />