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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 ° Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 ° Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />~ITE/T/IIE ~ gS/2t/96 19~3! flECHd~I[C~L PERHZT <br /> ~1/1~6 <br /> s I .TO ~X~ <br /> O~lT/l~ <br /> <br />S~TE ~D~EF~ : C[TY: ~RXON COUNTY 8792 HOL~IJXST <br /> <br />CROSS ~TRFFT : ~TE5 ~ ~E <br /> <br /> ~HE~ ~R <br /> <br />OWNER fl~flE I H~CH~L~PHYLLIS R <br /> <br />~PL%C~HT <br />~HE ; HEUFFER JR <br />ADDRESS ~ 408 S~HRO~EE ~R SE <br /> <br /> SALEM, OR 973~1 <br /> PHO~ ~ 36~-~554 <br /> <br />C~TRACTOR ~ NEUFFER JR ~ILLIAN OCC~ 9844575 <br /> PHONE ~ 367-~54 <br /> <br /> IJn~t~ ~e~crip~on Fee <br /> <br /> 2 Co~nercta] hooas/exnaus~s <br /> I ~ood stoves/fireplaces 7.5~ <br /> I Furnace ducts <br /> I State surcharge 2.89 <br /> 1 Refund <br /> <br /> Assessed fees : 42.88 <br /> Adjustments : .Og <br /> Total fees I 42.8B <br />PAYEE: NEUFFER JR WILLIAM Total pa.X~entss 42.98 <br /> Balance due I .88 <br /> <br />THIS PERRXT I$ NI~I-~R~BI.E ~ EXPIRES 1M.MYS FROII ISSUE D~TE IF I~ !'~ <br />NOT COHI~-NCI~, 01~ IF CONGTRUCTION CEAgt~ FOR A PI~IOD OF 1~ D~YG. OR IF MOIU( <br />FAILg TO i~ ~ J~Ollll~ OF STATE i..AIg~ ~ IMgtlOI. I~COWgTY M~)II,kMdC[B. ~ <br />WRITTEN REgUEST, ONE SlX (6) ~ EXTENSIGN i~Y BE ~. <br /> (? <br />SIGNATURE <br /> OF <br /> APPLICANT: <br /> <br />OONALO E WOODLEY,~ NARION COUNTY 1BUIL, OING OFFICIAL / ~Y DSTONE ~ ./ ~_~' <br /> <br /> <br />