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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 />of a registered builder, <br /> <br />Other <br /> <br /> 18152 LEVERMAN RD <br /> <br /> SITE NUN,/R: <br /> PNOI'IE= VALUATION: <br /> <br />TYPE: MECHANICAL PERNIT OR APPLICATION MO: <br /> <br />CONTRACTOR. biO. 0i5~5 <br /> Salem Nearing & Sheet Metal <br />PO Box 12885 <br />Salem, ~7~09-0080 <br />PHONE; 581-1536 <br /> <br /> ITEM <br />GAS CONNECTION <br />FORC AIR FURNACE UNDER 100000 BTU <br />GAS WATER HEATER <br />MECHANIOAL BASE <br />HECNAI4ICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOU~ RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br />2 $4.00 <br />1 $4.00 <br />1 $7.50 <br /> $10.08 <br /> $1.38 <br /> <br />$28.88 <br /> $0.00 <br />$28.88 <br /> <br /> PAYEE¢ Salelq Fieatimg & Sheet Metal Ibc RECEIPT NO: 62622 <br /> RECEIVED BY: mb .......................................... TYPE: CK CHECK ¢: 32991 <br /> <br /> ~ THIS IS A VALID PERMIT $ THIS PERMIT.EXPIRES [88 DAYS FROM ITS ISSUE DATE. iF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS~ OR. IF CONSTRUCTION FAILS TO MEET ALL <br /> EDUIREHENTS OF STATE LA~$ AMD MARION COUNTYiUILDING AND ZQNIN& DRDIMANCES~ THIS PERN~T <br /> ALL ~ECOHE MULL AND VOID.' <br /> <br /> REMARKS: 2/61.~WN~FURN <br /> QONALD E. WOO~LEY, MARION COUNTY BUIt_D~G'OPPICIAL ! BY <br /> <br />OFFICE COPY <br /> <br /> <br />