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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: 58845147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br />I have read aiid a9i~e to (he ~erms Stated on the reverse side of <br /> <br />°w~EN:DA'I'E: 04101/?4 <br /> <br />S~TUS AOt:C~E&.,~, WII,,,F'R:~'ED <br /> <br />T.[H .... <br /> <br />TAX LOT: <br /> <br />CATEGORY: <br /> <br />~ ~T I g L <br /> <br /> 19887 CASE RD <br />u's~! oF eu~t_~'~ORA <br /> <br /> NE <br />(IR ~700,2 iNARIOI,I COUNTY NO <br /> <br />26178 CASE RD NE <br />AURORA, 004 9.7,002 SITE HUMBER: <br />P,O4E; 670-5~ 95 VALUATION~ <br /> 'SECTION; TOWNSHIP: RANGE: <br /> <br />TYPE: ~ECHANICAL PERMIT OR APPLICATION HO: §391~ <br /> <br />CQN'FRACTOI'(~ ~0.. <br />WILHES, WILF'RIED <br />20178 CASE RI) NE <br />AURORA~ OR 9~00~ <br />Pl.'lONE: 678--529S <br /> <br /> :[ T E M <br />FQRC AIR F:URNACE UNDER 100000 BTU <br />btE6HANICAL, BASE ¢'EE <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL; ASSESSED FEES <br />PREVIOI;S RECEIPTS <br />THIS RECEIPT <br /> <br />BAm,.ANCE DUE <br /> <br />QUANTITY AMOONT <br /> 1 $6.00 <br /> $I0~00 <br /> $0.80 <br /> <br />RECEIPT NO: <br /> <br />$16,80 <br />$16.80 <br /> $0.00 <br /> <br />$8.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: PH2 ............................. ; ............... TYPE: CHECK 4~: 0 <br /> <br /> · THIS IS A VALID PERHIT ~ THIS PERNIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. ~F <br />CONSTRUCTION CEASES FOR A PERIOD'OF188]DAYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQUIREMENTS OF STATE:LAWS RNB NARION COI~NTYBUILDIHG AND ZOHiHG ORDINANCES~ THIS PERMIT <br /> ALL BECOME HULL AHD VOID. <br /> <br />REHARKS: F/A FURN <br /> <br />DONALD E,, WOODLEY~ H~RION COUNTY BOtLDtNG OFFICIAL / BY <br /> <br /> OFFICECOP¥ <br />FORM ~ MO 15-56 REV, <br /> <br /> <br />