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MARION COUNTY BUILDING INSPECTION <br />SEC, IATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 9'7301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - 8;00 A.M. <br /> <br />[ am performing work on a property I own or occupy· <br />l am a registered builder OR ( )theauthorizedrepresen~atlve <br />of a registered builder. <br />The work will be performed by a registered builder· <br /> <br />, DATE: 10/10/88 TIIVlE:9:.40:.28a ..... <br />: OWNER: TAX LOT: <br /> <br /> H~ITT, DEL.BERT & JOYCE <br /> SITUS ADORESS; CONSTRUCTION TYPE: <br /> <br />: RESIDENTIAL <br />i OCCUPANCY: <br /> <br /> 14122 ARNDT RD NE <br />AURORA OR 97002 <br /> <br />PHONE <br /> <br />WIOTN; <br /> <br /> 1075 <br /> VALUATION: <br /> <br />: 2 4s lW i <br /> 3 <br /> <br />S- eOO.J ..... ; NO NO <br /> <br />TYPE: MEONANICAL PEF~IlT OR APPLICATION NO: 11728 <br /> <br />ODNTI~A~TOR. NO. 1911 <br />HOLFER S HEATING <br />290 YOUNG ST. <br />~)ODS~RN, OREC_~N 97071 <br />PHONE. 981-4511 <br /> <br /> ITEM <br />GAS OONNECTION <br />FoRC AIR FURN 100000 8]~J OR LESS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 8 <br />MECHANICAL STATE SURCHARGE <br /> <br />(~JANTITY A~3tJNT <br />8 $4.00 <br />2 $12.00 <br /> $10.00 <br /> $7~68 <br /> $1.30 <br /> <br /> $34.98 <br />',' PREVIOUS RECEIPTS ' $0.00 <br /> THIS'RECEIPT $34.98 <br /> <br /> $o.oo <br /> <br /> ,' 12454 <br />PAYEE: t,',IOLFER'S HEATING :, ' ; <br />RECEIVED BY: ¢'1 ,,,,,, ~pE.+,CK: ;CHECK ~t: 9769 <br /> <br />* THIS I$ A VALID PERt4IT ~: TH ; FRO~I ,TTS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A iPERIOD: FAILS TO MEET ALL <br /> AND :ZONING ORDINANCI~, THIS PEF~iT <br /> <br />RECEIPT NO: <br /> <br />~OUIREMB~FFS OF STATE L~ANI <br /> ~.LL 8B20'~E NULL AND " <br /> <br />RB'4ARKS: 2 ~ FURN R~5601 <br /> <br />OFFICE COPY <br /> <br /> <br />