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MARION COUNTY BUILDING INSPECTION ct I 0 <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 ~ine: (503) 373-4427 <br /> <br /> HECHN4ICAL APPLICATION <br />DATE/TIHE = ~4/IS/97 ~8=13 ~TIVITY HO = 97-S2528 <br />TYPE ; Resident. addition/alteration STATUS = APPLIED <br />OCCUPANCY ~ R-3 APPLIED : 84/le/1997 <br /> TO EXPIRE = ~/~7/~997 <br /> <br />WORK OESC : FURN~AIR~EXHAUST <br /> <br />~TE ~RESS : 9DB1 ~R~A~ ST SE AH CITY: MARION COUNTY <br /> 98~1JOROAN ST SE AH <br /> <br />CROSS STREET ~ <br /> <br />PARCEL NUMBER : 56~88-800 <br /> <br />OWNER NAME <br /> <br />: BARTELS,HENRY <br /> <br />APPLICANT <br /> NAME BARTELS.HENRY <br /> ADDRESS ~ 9881 ,JORDAN RD SE <br /> AUMSVILLE <br /> OR 9732§ <br /> PHONE : 362-3148 <br /> <br />CONTRACTOR : BARTEL~HEflRY OCC~: <br /> PHONE : <br /> <br /> Units Description Feo <br /> 1 Base fee ia. Be <br /> 1 Forced air~ over 188,880 BTU 7.08 <br /> 1 Air conditloners~ under 3 tons 6.58 <br /> l DoMestic fans/vent~ 3.88 <br /> I Stmte surcharge 1.33 <br /> I Refund .88 <br /> <br />Assessed fees : 27.83 <br />Ad just~mnts ; <br />Total fees : 27.83 <br />PAYEE: BARTELS, HENRY Total paxments: 27.83 <br />Balance due · <br /> <br />THIS IS NOT A PERHIT. IT IS TILE: RESPOHSISILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY I~ORMTI'O. IS PROV'r~E:D A~IA FEES PAT, D BEFORE A PERMIT <br /> <br />S~GNATURE OF APPLICANT: <br /> <br />:I)ONALD E. WOOI)LEY~ MARl:ON COUNTY BUILDING OFFICIAL / BY MBULL <br />.................................. FOR OFFICE OSE ONLY ........................... <br />MAP: ZONE: EFU PROPERTY LOCATOR: 881W18 08388 <br />PLAN REVIEW: DATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />