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MARION COUNTY BUILDING INSPECTION <br /> SENATORSLDG NO 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588'25147: <br /> CODE-A-PHONE430PM -8::00A, M,, <br /> <br /> The work will be performed by a registered buflder <br /> Other_ <br /> <br /> this document <br /> <br />BATE: 06/01/87 TINE: 11:05:4,?,~ <br /> <br />OWNER CATEGORY <br /> RE~O, NAYNE R <br /> <br /> 7323 ,~ctAN HI,CF SE CONTRACT CITY UGS OCCUPANT LOAD <br />~JMSVI LLE OR 97325 <br /> <br /> SINGLE FAI~,IILY DWELL'rNGS <br /> <br /> PHONE: 749-2625 SITE NUMBER: 1525 <br /> VALUATION: <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> 15 8S 2~ AR <br /> N N <br /> <br />49 <br /> <br />TYPE: MECHANICAL PER,lIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 2247 <br />STAY'TON REFRIGERATION <br />207 N 2RD <br />STAYTON, OREGON 9?383 <br />PHONE: ?69-3495 <br /> <br /> ITEM <br />FORC AIR FUE~ 100000 BTU OR L~ <br />GAS WATER HEATER <br />MECHANICAL BASE FEE <br />FLEET E~JRCHAR'6E -ZONE 2 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: STAYTON REFRIGERATION <br />RECEIVED BY: J8 <br /> <br />2428 <br /> <br />QOANTITY AMOUNT <br />1 $5.00 <br />1 $7.50 <br /> $10.00 <br /> $3.84 <br /> $0_94 <br /> <br />TOTAL AE, SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$28.28 <br /> $0.00 <br />$28.28 <br /> <br />BALANCE D~E $0.00 <br /> <br />INVOICE NO: 2931 <br />TYPE: CK CHECK ~: 17254 <br /> <br />* THIS IS A VALID PF_~4IT * THIS PERNIT EXPIRES 180 DAY8 FR01~I ITS IS,..%~UE DATE. IF <br />CONSTRUCTION CEASSS FOR A PERIOD OF 180 BAYS, OR IF CONSTRUCTION FAILS TO ~ ALL <br />RBqUIREI~IB~'I~ OF STATE ~ AND MARION ~OUNTY BUILDING AND ZONIN~ ORDINANCES, THIS PE.~MIT <br />SHAM_ BECONE NULL AND VOID+ <br /> <br />RE~ARI<~,: SEE M 2606 <br />DONALD E. WOODLEY, ~RION COUNTY BUILDING OFFICIAL/ BY ........ ~~~ <br /> <br />OFFICE COPY <br /> <br /> <br />