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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 /> NECHAflICAL APPLICATION <br />DATE/TIME : 86/11/76 le:88 ACTIVITY NO : 96-8417~ <br />TYPE : Resident. addition/alteration STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : 86/11/1976 <br /> TO EXPIRE : 12/88/1978 <br /> <br />WORK OESC : ADD/FIJRNACE~ 1-WOOl)STOVE; 1-.FIJRN DUCT; 2-EX FAN <br /> <br />SITE ADDRF SS <br /> <br />(:ROSS STRi::ET : <br /> <br />PARCEL NUMBER : <br />I]WNER NAME : <br /> <br />: 8792 HOLMQUIST RD SE AN <br /> <br /> 8792 HOLNQU[ST RD SE AM <br />BATES RD SE <br /> <br />56346-545 <br />MICHAEL, PHYL[ IS R <br /> <br />APPI.ICANT <br />NAME : NE-UFFER ,JR WILLIAM <br />ADDRESS : 4~18 SANRi')DEE l)R SE <br /> <br /> SAI.EM, OR 97S01 <br />PHONE : 362-~554 <br /> <br />CONTRACTO!'4 : NiHFFER ,,IR WILLIAH <br /> PHi)NE : ~62-~554 <br /> <br />CITY: MARION COUNTY <br /> <br />OOCB: 0044575 <br /> <br /> Forced ai~ 100,000 BTU & less <br />2 Commercia) hoods/exhausts <br />1 Wood stoves/fireplaces <br />i. Furnace ducts <br /> ST'at~ surcharge <br />! Refund <br /> <br />8.00 <br />9.00 <br />7.50 <br />7.58 <br />2.00 <br /> .08 <br /> <br /> Assessed fees : 42.00 <br /> Ad j us I:~n~)nts : .00 <br />PAYEE: NEUF'F'ER .mR WIU.[AM Tota] payments: 42 <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFOR)ATIDN IS PROVI~ AN~ ~EES PAI) BEFORE A PERMIT NAY <br />BE ISSUED.a p OF AF'PI.ICANT:'~/~~~ / <br /> <br />MAP~ 4~ 70NE: AR PROPERTY I..OCA'TOR~ <br />PLAN R) V]:i:-~ I)ATF: Z[Ii,?W~ R~V],Ii':W: <br /> <br /> <br />