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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 gerformir~g work on a property I own or O06upy. <br />Ism aregister~dbuilder OR( )theauti~orlzedrepresentative <br />of a registered builder, <br />The work will be periormed by a registered builder, <br />Other. <br /> <br />' WOSSLF'Y,~ ALLEN & KAY 61272-00~ <br /> <br />RESIDENTZAL <br /> <br /> ; ............... I OS~UI=ART LoAbl <br />: 122S5 NEST STAYTON RD SE ~,CONTRACTClTY~i Ud~: <br />: ~UMSVILLE OR 973,,5 ~ARION COUNTY NO <br /> <br /> i SITE NUH~ER: 94-~2~91 <br /> F'HC NE: 769-J24L ,, VALUATIOM~ <br /> <br />i WIDTH: iDCFYlFH; [ · , , , <br /> <br />TYPE: MECHANICAL PERHIT OR APPLICATION NO: <br /> <br />COM'rRACTOR~ NO,, 78570 <br />Oregon Heating & Cooling :mc <br />PO 9ox 4;~27 <br />Sa l~.r% 97;~02-0000 <br />PHONE: 581-8747 ' <br /> <br /> z'rEM <br />HE~T PUMP <br />MECHANICAL B~SE PEE <br />MECHhNIC~L STATE SURBNRRGE, <br /> <br /> 'TOTAL ASSESSED FEES <br />PEEVIOUSRECEIP¥S <br /> THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> I $6,00 <br /> $10,, 00 <br /> $0.80 <br /> <br />$16.80 <br /> $8.00 <br />$16.80 <br /> <br /> :BAEANCE: DUE $0.90 <br /> <br /> PAYEE, Oregon Hea~ing & REEEZPT NO: 6:1, S2',D <br /> RECEIVED BT: mb ............ ; ............................ TYPE: CK CHECK ~: 8162 <br /> <br />CONSTRUCTION CEASES FOR A PERIOD DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br /> EQU~REHEHTS OF STATE LAWS ,AH~ HARIOH COUNTY BUILDING AND ZOHiHG OR~INANCES~ THIS PERHIT <br /> ALL 8ECOHE HULL AN~ <br /> <br /> RE~ARK~: HP <br /> <br />OFFICE COPY <br /> <br /> <br />