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MARION COUNTY BUILDING INSPECTION <br />SENATO.[:{ BLDg. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br /> 24 HOUR iCODE-A-PHONE: 588-7904 <br /> <br />I am a registered buitder On the authorized representative <br /> <br />AUHSVILLE OR ?7325 MARION COU~TY~ NO <br />FHONE: ~ VALUATION: <br /> <br />PERHIT OR APPLICATION NO: 55311 <br /> <br />TYPE: HECHANICAL <br /> <br />CON1RACTOR~ NO, 07594 <br />Lorens Heatittq & Sheet Metal <br />2~55 Flyac~n~h St NE <br />Sale~ 973~3-80~0 <br />PHQNE. 370-7640 . ;.,~,-.,,~¢~!~ <br /> <br /> !'rEM <br />HEAT PUMP : <br />NECNARICAL BASE FEE .~ <br />HECHANICAL STATE SURGHARE <br /> <br />QUANTITY AMOUNT <br /> 1 $8,00 <br /> $10,00 <br /> $0,80 <br /> <br />$i6.80 <br /> $0.00 <br />$ :1,6.80 <br /> <br />$0.00 <br /> <br />RECEIPT NO: 57773 <br />TYPE: CK CHECK ~: 2759 <br /> <br />HEET ALL <br /> <br /> PAYEE: Lorens Heati <br /> RECEIVEg BY: XXX <br /> <br /> $ THIS IS A <br />CONSTRUCT~Ol <br /> EQUiREHEHTS OF STATE <br /> ALL BECONE NULL AND:VOl <br /> <br /> RI-HARKS: HEAT F'UNP <br /> DOHALD E. WOODLEY~ <br /> <br />FOFIM # MC: 15-~,~ REV. 4¢~0 OFFICE COPY <br /> <br /> <br />