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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 8 ,,operty I own or occupy, <br /> document. <br /> <br /> A~UINAGA, DEBBY ~ i RESiDENTiAL <br /> <br /> 580 ~A¢~iNgTON ST -,- <br /> AUMSV~LLE OR 97325 AUMSViLLE <br /> <br /> SA~E <br /> SiTE ~BER: 94-00774 <br /> PHONE: 749-3004 VALUATION: <br /> <br />TYPE: ~CHANICAL PERMIT OR APPLICATION NO: 53090 <br /> <br />CONTRACTOR, NO. 49484 <br />Jack Dejon~h <br />25175 ~allace Rd Ni <br />Salem, 97304-00OO <br />PHONE: 868-7815 <br /> <br /> ITEM <br />GAS CONNECTION <br />FORC AIR FURNACE UNDER 100000 BTU <br />MECHANICAL SASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED ,FEES <br />?.REVIOUS RECEIPTS <br />TM~S RECEIPT <br /> <br />QUANTITY A:_OU~, <br />1 $2.00 <br />i $6.00 <br /> $i0.00 <br /> $0.90 <br /> <br />$18.90 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: Jack De~ongh INVOICE NO: 55551 <br />RECEIVED BY: F~S TYPE: CH CHECK ~: 4220 <br />* THIS IS A VALID PERMIT * TI{ES PERI(IT ,EXPIRES 180 DAYS FROM ITS~ISSUE DATE. <br />CONSTRUCTION CEASES FORA PERIOI~ OF 180 DAYS, OR IF CONSTRUCTION ~AiLS TO ~ET ALL <br />EQUIREHENTB OF STATE ~ :~ ~RION.: CO~ BUILDING ~D ZONING ORDIN~CEB, T~iS ~RM <br />S ~L BECOME ~LL ~ VOID~ ..... <br /> <br />REKARKS: GL & FURN <br /> <br />DONALD E. WOODLEY, MARION. COUNTY BUILDING OFFICIAL / BY <br /> <br />~o~,~ sc ~-s~ F~L=V,,~I~ OFFICE COPY <br /> <br /> <br />