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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 />WORK ~ ..... ?i:~R-]:¥~-~ ............................................ <br /> <br />SITF ADDRFSS : <br /> <br />460 llTH ST AM <br /> <br />CROSS STRFFT : Ci EVFLAMD <br /> <br />PARCEl. NUMBER : <br /> <br />OWNER NAME : PIERCE, SHARON <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />PHONF <br /> <br />CITY: AUMSVILLE <br /> <br />CONTRACTOR <br /> PHONF <br /> <br />LOCATOR: 682W25DB67706 <br /> ZONE: RS <br /> <br />LORENS HEATING & SHEET METAL THC <br />2355 HYACINTH ST NE <br /> <br /> SALEM. OR 97363 <br />: 370-7646 <br /> <br />: LORENS HEATING & SHEET METAL lNg <br />: 37B-764~ <br /> <br />OCCB: 6667594 <br /> <br />IJn~ts Description Fee <br />] ~ase fee 1~.06 <br />1 Air conditioners, 3 tons & up 11.66 <br />] State surcharge 1.65 <br />1 Refund .60 <br /> <br />Assessed fees : 22.65 <br />Adjustments : <br />Total fees : 22.65 <br />PAYEE: LORENS HEATING & SHEET METAL INC Total pax~ents: 22.65 <br />Balance ~ue : <br /> <br />THIS PER#IT IS NON-TRANSFERABLE AHD EXPIRES 18# D~YS FROH I~SUE DATE IF MOEK HAS <br />NOT COI~NCED, OR IF CO~R~TI~ ~S FOR ~ ~IOD ~ 1~ ~YS. ~ IF ~K <br />FAIL~ TO ~ET ~L ~I~T5 ~ STATE L~ ~ ~I~Y ~DI~E~. ~N <br />~ITTEH ~ST, ~ SiX (6) ~H EXT~SI~ ~Y ~ ~R~T~. <br /> <br />SIGNATURE OF APPLICANT; <br />********************************************************************************* <br />~OflAI P F WOOP[ [Y~ MARION COUNTY BUILDING OFFICIAL / BY DSTON~ -~ <br /> <br /> <br />