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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 - 4:30 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a aroperty I own or occupy, <br /> I am a aegistered builder OR tho authorized representative <br /> of 8 registered builder, <br /> The work wild be performed by a registered builder. <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 02/20/92 'riME: <br /> <br />OWNER: .............................. 17'~RX CO~; CATEGORY; <br /> rflANN, [;)ARLENE <br /> <br /> loo s DETROIT AVE ~ ' 18660R~m Lo~b: <br /> OE'f ROI T OR CONTRACT CITY: <br /> <br /> ~T~ZT NO , <br /> ' <br /> <br /> ~ BOX 3B? <br /> JD~HA OR 9?350 <br /> ~E: 854-2725 SiTE NU~ER: ~4 <br /> I VA~AT l ~: <br /> <br /> NO <br /> <br />TYPE.- MECHANICAL PER/~IlT OR APPLiCATiON NO: 384,14, <br /> <br />C~NI'RAC'f'OR, NO. 65439 <br />Bmq'rHfgATING <br />PO BOX 567 <br />~,;IO, 97374-056? <br />PHONE: 39A-34`51 <br /> <br /> rr~ <br />AIR HANDL UNiT 'ro 10000 CU ¢T <br />NECHANICAL 8A~E FEE <br />~EC~AN[CAL STATE ~iURCHARGE <br /> <br />TOTAL ~F_~.~ED FEES <br />PREVIOUS RECEIPTS <br />THiB RECE'[PT <br /> <br />C~JANI'iTY AhlEXJN']' <br /> 1 $4.50 <br /> $1o.oo <br /> <br />$15.23 <br /> $0.0o <br />$15.23 <br /> <br />BAI.ANCE CUE $0.00 <br /> <br />INVOICE NO: 40405 <br /> <br />PAYEE: 8EST HEATING <br /> <br /> RECEiVEO BY: CR TYPEz IN O~HECK ~= 0 <br /> <br />O~ST~CT[~ OF ~TA A P~RZOD OF 1.80 DAYS, ORIF ~T~CTi~ FAI~ TO MEET ALL <br />R~IR~TS TE ~ ~O ~Ri~ ~TY~ILDI~ ~0 Z~ING ORDIN~C~, THI~ PE~IT <br />~ALL 8~E NULL~D VOID. <br /> <br />COFC4ERC 1 AL <br /> <br />RENARKS; AIR HANDL UNIT <10,000 <br /> <br />DONALD E. NOODLE'Y, ~ARIC~ COUNTY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />