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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5'147 8;00 - 4:30 <br /> 24 HOUR CODE-A-PHONr=: 588-'7904 <br /> <br />of a registered builder. <br />Other. <br />this document. <br />DATE: 10/27/93 TIME: 1Z'.'.S0:31 <br /> <br /> 961~ MILL CREEK RD SE <br /> <br /> PHO~: 74~-,],~]1 VALUATION: <br /> ~ J 24 I 8S / 2W <br /> <br />TYPE: HECHANICAL <br /> <br />PERHIT OR APPLICATION NO: 5~960 <br /> <br />CONTRACTOR,,NO. 804~9 <br /> CJ Hansen Co <br />PO Box 7~97 <br />SaleM, 97383-0000 <br />PHONE: 362-3643 <br /> <br /> ITEM <br />GAS [;ONNECTION <br />MECHANICAL BASE ~EE <br />MECHANICAL STATE SlRC~!ARGE <br /> <br />PAYEE: CJ Hansen C~ <br />RECEIVED BY: DM <br /> <br /> ~ THIS IS A VALID <br />CONSTRUCTION CEASES <br />EQUIREHENTS OF <br />ALL BECONE HULL AN~ <br /> <br /> QUANTITY AMOUNT <br /> :: 4 $8.00 <br /> : $10.00 <br /> ,: $0.90 <br /> <br /> :FEES .$I8.90 <br /> $0.00 <br /> ) $18.98 <br /> <br /> $0. <br /> <br /> i INVOICE NO: 5~374 <br />?:,: !., TYPE: CK CHECK ~: 1~156 <br /> i~RON ITS ISSUE ~ATE. IF <br /> FAILS TO MEET ALL <br /> ORDINANCES, THIS PER~IT <br /> <br />~ORM # MC 15-56 R~V, 4~30 OFFICE COPY <br /> <br /> <br />