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FOR CITY VALIDATION <br />Received By; [ <br />Date: I <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please com. p_l. ete all Sections, 1 through 5 <br /> <br />i. LOCATION OF INSTALLATION <br /> <br /> TAX ACCO~ NO, <br /> <br />ADDRESS <br /> <br /> MARION COUNTY <br />BUILDING INSPECTION DMSION <br /> 3150 L~ncastar Dr. IN~ - Suim C <br /> Salem, Oregon 97305-1398 <br /> <br />P~.OPERTY oV~ri'~ER <br /> <br />OWNF.2,'S <br />PHONE# <br /> <br />CROSS ~I <br />D~ONS <br /> <br />PROJECT D~'C~ON ~ <br /> <br /> ~5 AR~ NON-~S~ ~ ~ ~ WORK IS NOT <br /> ~ WIT~ 1~0 DAYS OF I~SUANCE O~ ~ <br /> <br />2A. C~ONTRACTOR INSTALLATION ONLY <br /> <br /> M,=ha~iea Coatra~or BEST HEATING & .C. ONTROLt INC. <br /> Mailing Adck'~ P.O. BOX 567 ~Y SCIO <br /> <br />~0~ 5' 0 3 ~ 3 9 4 ~ 3~ 4 6 1 <br /> <br /> FAX 5 0 3 ~ 3 9 4 ~ 3 3 0 ~ <br /> CO~C~RSBO~ 0 6 5 I 9 <br /> <br />3, PLAN REVIEW SECTION <br />IMarion County does not require a plan review, <br /> We will provide plan review service if you complete <br /> Section 5B and submit two !2) sets of pians and <br /> specifications with this appbcation. <br /> <br />PERMIT NO: <br /> <br />Dale: <br /> <br />Issned by; <br /> <br /> ;M HR In.,~pecfion Line 373,44Z7 <br />Offlce: phone ,~SS-5147 8:00nm - 4;~0pm <br /> <br />UNDER 3 'ION <br />3 TON AND MO;rE <br /> <br />5. FEES <br /> <br />TOTAL AMOUNT DUE <br /> <br /># of Labels_. N/C <br /> <br />MC 15.41 7/97 <br /> <br /> <br />