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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 /> 24 HOUR CODE-A-PHONE: 588-7904 ~ .............. , ........................... ~. <br /> <br />I am performing work on a property I own or occupy, ~ .I ~-~ <br />I am a registered budder OR the authorized representative S GNATURE OK A¢4~"'~;-~ ~ ! ~ : ~ -~ <br />The work wdl be pedormed by a registered builder· <br /> <br />°wNsR;DATE: 04/01/94 T,[ME: 18:2,5;:.tl <br /> <br />SITUS AOf'J~'ON'~ I(EI,,LY & VERNON <br /> <br />TAX LOT CATEGORY <br /> <br /> OONTRACT CIT~ JGB: <br />At.N~II.,LE ....... 97~25 MARION COUNTY ~O <br /> <br />MAILING AOD R--E~S~' <br /> <br /> SAME: <br /> SITE NUMBER: 94-00845 <br /> PHONE: 362-0447 VAL, UATION: <br /> <br />WIbTH. DEPTH; AI~ ..... (]~I~S ..... P~G. ' L'O:f ' Cb~ ~9 <br /> ............. 2~ , ..... AC .................... NO NO <br /> <br />TYPE: NECHANiCAL <br /> <br />PERNZT OR APPLICATION NOg <br /> <br />CONTRAC'ro~, NO. <br />I-IAMPTOM,, KE'M.,.Y & VERI,ION <br />SA~4E <br /> <br />PHONE: 362-044? <br /> <br />FORC AII~ FUkNAI,,.F UI,IQER 100000 BTU <br />DOM EXHST FANS & DRYER YENTS <br />MEC'SAN;£CAL BASE FEE <br />HECHANICAL STATE SURCHAR[;E <br /> <br />53951 <br /> <br />TOTAL ASSE$SE9 FEES <br />PREVIOUS RECEIPTS <br /> <br /> BALANCE <br /> <br />QUANTITY <br /> 1 <br /> <br /> A H 0 U I,I T <br /> $?,, 0(3 <br /> $1,.25 <br /> <br /> $2~. 25 <br /> $0.0~, <br /> $26.25 <br /> <br />56422 <br /> <br /> P~YEE: HAMP'fON, KELL. Y & VERNON RECEZF"T NS: <br /> RE. CEIV£;:D BY: PM .......................................................... TYPE: CA <br /> <br /> * THiS IS A VALLE PERHIT $ THIS PERMIT EXPIRES 188 DAYS FROH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR APER[OD OFIBB 9AYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQUIREHENTS 8F STATE LANS AN~ HAR~ONCOUHTY~UIL~NCAN~ ZSNiN~ OR~[NANCES~ THIS PERMIT <br /> ALL ~ECSHE HULL AND VO[~ <br /> <br />REMARKS: F/A FURN,, S VENTS <br /> <br />DOHAI,.;O E, WOODI.,EY,~ MARION COUNTY BU'~:LI)II,t,r,¢ OFFI:CZA£.. / BY <br /> <br />OFFICE COPY <br /> <br /> <br />