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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 />HOUR CODE-A-PHONE: 588-7904 <br /> <br />lemareglsteredbuilderOR( ) the authorized representative <br /> <br />The work w[IJ be peHormed by a reglstereB builder. <br />Other <br /> <br />',USE OF SUIt, DING; ' ing OF 8EDflOOMS: <br />MAILING A D DCIB¢$'. SUBDIVISION'. <br /> <br /> SITE NUMSER: 94-~44 <br /> Pf-10NE:~ 749'"'274 ~ VALUATION:~ <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION <br />C!J, NT;"(AC'FOR,~ NO. 02347 <br /> <br />St¢y~:on. 97383-~8~ <br />PHOH,E~ 769-,,34~5 <br /> <br /> ITEH <br />~A9 CONNECTION <br />HEAT PUHP ? <br />FORC AIR FURNACE UN~ER I~8~g BTU <br />~ECHAt,t~;CAL [~ASE FEE <br />ME:CHANTCAL STfYFE SURCHARGE <br /> <br />QIJANTITY AHOIJNT <br /> ¢2.90 <br /> <br /> $:i. ,, <br /> <br />TOTA AS!EiESSED :' liES $25,.20 <br />: ] I S RE CE :[ P T .I; ,~ ...... <br /> <br /> PAYEE,". c,l:ayf;on He,a'czn.q &A:~ INVOICE HO',~ <br /> <br /> ~ THIS iS A VALI~ EXPIRE~ 18~ ~Y~ PROM IT~ ISSUE ~ATE, IF <br />~QUIRE~EN'TS OF STATE LAWS A~D MARI'OH :COUNTY:BU~L~IN~ AN~ ZONING ORDINANCES, THIS PERMIT <br /> ALL BECQNE NULL AN9 VOID, ~:, : : <br /> <br /> Pf'U,h~L~ ]',l:,, WOO~)L~iY~ ~ARZDN COUNTY X~UII,.D~NG OF'FIEi'.E~L / BY <br /> <br /> <br />