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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chumh 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 /> NECHANICAL PERHIT <br />DATE/TIHE ~ B8/~6/76 B?~43 PERN~T NO = 96-~57§? <br />TYPE : Resident. addition/alteration STATUS = ISSUED <br />OCCUPANCY : R-3 ISSUED = ~8/~6/1996 <br />PA~ = I TO EXPIRE = ~2/82/1997 <br />WORK ~;g0 ...... T-['-FO~R~-i-C~g-[ZRE ................................................ <br /> <br />SJTE A~RFSS : CITY: MARION COUNTY <br /> ~143 W STAYTON RQ SE AH <br /> <br />[:ROSS STRF[7 : P(iRTER RD <br />PARCEl_ NUM!:d{R : 61374-000 <br /> <br />OWNER NAME : <br /> <br />SEI.NES,WILL.~AM P & NANCY A <br /> <br />APPLICANT <br />NAME : Cd HANSEN CO INC <br />ADDRESS : PO BOX 73~7 <br /> <br />L.O~AFOR. 092W010 00400 <br /> ZONE: EFU <br /> <br /> SALEM. OR 97303 <br /> PHONE : 362-3643 <br /> <br />CONTRACTOR : CJ NANSEN CO INC <br /> PHONE : 362-3643 <br /> <br />OCCB: <br /> <br />!Jnits Deso"iptic n <br />....... 1-----l~'-'t~e <br /> 1 Forced air, 100,000 Bru & less <br /> I Gas outlets <br /> 1 State sur~h~r'ge <br /> Refund <br /> <br />0000499 <br /> <br /> Fee <br /> <br />T~ <br /> 6.80 <br /> 2.08 <br /> .90 <br /> .00 <br /> <br /> Assessed fees : 18.90 <br /> AdjustMents : .00 <br /> Total fees : 18.90 <br />PAYEE: C,J NAMSEN CO INC lotal pmyments: 18.90 <br /> Balance ~ue : .~ <br /> <br />THIS PERMIT IS HQH-TRANSFERABLE AH9 EXPIRES 188 ~YS FRDH ISSUE DATE IF W6RK HAS <br />HOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ ~YS. OR IF ~O~K <br />FAILS TO HEET ALL REGU[REHENTS OF STATE LAWS AN~ HARIOH COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (5) HQNTH EXTENSION HAY BE GRAHTEg. <br /> <br />SI,NA[URE OF APPLICANT: <br /> <br />I)ONALD E WOODLEY, MAR~:ON COUNTY BH[LD(flG OFFICIAL / BY LIDAVIS <br /> <br /> <br />