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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br /> PHONE 588-5..147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM. <br /> <br /> I have read and agree to the terms stated of 1 the ¢ecerse side of <br /> th~s document <br /> <br />DATE: 05/28/8? TIME: 12~46:40P <br />OWNER <br /> MAIR, J/tC4ES <br />SITUS ADDRESS <br /> <br />SIGNATURE OF APPLICANT <br /> CATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> ?727 ,SHERMAN RD <br />AuMSVILLE OR 97325 <br /> <br />CONTRACT CTTY <br /> <br />UGS <br /> <br />MAILING ADDRESS <br /> <br /> SANE <br /> <br /> PHONE: 749-1339 <br /> <br />LOT BLOCK SECTION <br />WIDTH DEPTH AREA <br /> <br /> TOWNSHIP <br /> <br /> 28 85 <br /> UNITS <br />1.55000 AC <br /> <br /> CATEGORY <br /> <br /> OCCUPANCY <br /> <br /> OCCUPANT LOAD <br /> <br />N <br /> <br /> SITE NUNBER: 1501 <br /> VALUATION: <br /> <br />RANGE ZONE <br /> 1N AR <br />IRREG LOT CORNER <br />N N <br /> <br />MAP <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO, <br />MAIR, JANES <br />SAME <br /> <br />PHONE: 749-1339 <br /> <br />PERMIT OR APPLICATION NO: 9002382 <br /> <br /> ITEM <br />DOM E)<HST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: MIR, JAMES <br /> <br />TOTAL ASSE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $3.D0 <br /> $1o.oo <br /> ~3.84 <br /> 0.52 <br /> <br />$17.36 <br /> $0.00 <br />$17.36 <br /> <br />BALANCE BUE $0.00 <br /> <br />INVOICE NO: 2876 <br /> <br />RECEIVED BY: c] TYPE: CK CHECK ~t: 200 <br /> <br />~ THIS I8 NOT A PER~IT. THIS APPLICATION I~JST ~ ~ A R~I~ P~ ~ ~E <br />F~ING ~T BE ~O+ IT IS ~E ,~ILi~ ~ ~E AP~I~ TO ~ ~T <br />ALL N~ IN~T~ ~ B~ ~iDED+ <br /> <br />PlAN REVIEN: BY .......... <br /> <br />REMARKS: BAI"H: FAN <br /> <br />DATE .................. <br /> <br />CITY JURISDICTION.* BY DATE <br /> <br />OFFICE COPY <br /> <br /> <br />