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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: 588-514-7 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-T904 <br /> <br />I am~n~r~dhu/~¢a registered builder OR the authorized representative ~I~NA~URE OF A~LIOAN~: <br /> <br />Other. <br />~ have read and asree to the re(ms stated on the reverse side of DATE'· <br />~hls document <br /> <br /> RESIDENTIAL <br /> <br /> ~U~OR~ OR 97ee2 ~ARION COUNTY '~NO <br /> <br /> SITE HUN~ER: <br />: PHONE= 678-1792 V~LU~TION: <br /> <br />TYPE: HECHANiCAL <br /> <br />CONTRACTOR~ NO. <br />SPENCER, WILLIAM <br /> <br />PERHIT OR APPLICATIOH NO: 58775 <br /> <br />PHONE: 678-1792 <br /> <br /> ITEH <br />GAS CONNECTION <br />FLOOR MOUNTED UNIT HEATER <br />~ECNANICAL ~ASE FEE <br />HECHANZCAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVISNS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE' <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br />AMOUNT <br /> $2.88 <br /> $6.00 <br /> $10.00 <br /> $0.90 <br /> <br /> $0.00 <br /> $18.90 <br /> <br /> $0.00 <br /> <br /> ~AYEE: SPENCER, WIJ~LI~r~ RECEIPT NO: 61345 <br /> RECEIVED BY: m§_~-- - TYPE:'CK CHECK ~: <br />* THIS IS A VALID PERHIT $ THIS pERHZT EXPIRES 188 DAYS FROH iTS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A ~ERIODDF 184~ DAYS, OR.IF CUHSTRUCTZON FAILS TD HEET ALL <br />E~UI~EHEHT$ OF STATE LA~S AHD H~RION .COUNTY BUILDING ~HD ZOHINC O~DINAHCES, THIS PEENIT <br /> ALL BECONE NULL AND VOID. ' ", <br /> <br /> ..ARK,,. GI-~ FLOOR MOUNTED' UNIT , <br /> <br /> DOIqALQ E. WOODLEY, MAR~ON COUNTY SUILD~N6 ~FFICIAL / BY ....................................... <br /> <br />OFFICE COPY <br /> <br /> <br />