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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, ~)REGC~'N 97301 <br /> <br /> PHONI=: 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: <br />l am a registered builder OR ( )theauthorlzedrepresentative <br />of ~ registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br /> ; , CONSTRUCT ON TYPE; OCCUPANCY: <br /> <br /> ~ I OCSUPXNT LOAO; <br /> 8883 SHAW SQUARE RD SE ;GONTRAOT C TY; I UGO: <br /> AUMSVILLE OR 9'I;~25 iMARION COUNTY ~NO <br /> <br />, , SITE NUHBER: 94-81847 <br />: PNONE: VA[. JATION: <br /> <br /> ....... OR <br /> TYPE: HECHAHICAL PERMIT NO= 54917 <br /> <br />CONTRACTOR, NO. 005~;[ <br /> ~n~ag of Sale~ Inc <br />z~£ urion St NE: <br />S,~leM, 97~01-.0000 <br />PHONE: 585.-.6396 <br /> <br /> ITEM <br />OTHER (AS PER MECHAHICAL CODE) <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: Non,ag of Salem <br />RECEIVED BY: XXX <br /> <br /> TOTAL A~SESSEB FEES <br /> PREVIOUS RECEIPTS <br />. THIS ~EOEIPT <br /> ,.BA~ANCE.~UE <br /> <br />OUANTITY <br /> <br />AHOUNT <br /> $7.50 <br /> $10,00 <br /> <br />$18., 38 <br /> $0.00 <br />$18. <br /> <br />$0.00 <br /> <br />RECEIPT NO: 57;7¢91 <br /> <br /> TYPE: CK CHECK q~: 3f~96 <br /> <br />CONSTRUCTIOM CEASES FOR ,A PER/OD.OF 188 ,~AYS~ OR IF CONSTRUCTION FAIL8 TO HEET ALL <br />EGUIREHEHT5 OF STATE LA~S' AND HARION COUNTY BUILDING AND ZONINg ORDINANCES, THIS PERMIT <br />aLL aECOHE NULL AH9 VOID. <br /> <br />REMARKS: FURN DUCTS ALTER/EXTENSlOH <br />QONALB Eu WOOQLEY, MARIOH 60UHTY ~UILDIHC OFFICIAL / BY ........ __~....~_~ ............................... <br /> <br />OFFICE COPY <br /> <br /> <br />