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MARION COUNTY BUILDING INSPECTION <br />SENATOR ..~.LD.G. ~O. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performing work on a property I own or occupy <br />lam a registered builder OR( )~heauthorized representative <br />of a registered builder, <br />The work will be performed by a registered bulider. <br />Other <br /> <br /> DATE: 10/30/8'7 TIME: <br />OWNER: <br /> MARTO~HER, DAN <br /> <br /> RAO,,~O~1 ARNDT RD <br /> <br />3:11:32p <br /> <br /> NE <br />97002 <br /> <br />CONSTRUCTION TYPE: <br /> <br />CONTRACT CITY' [tJ~B <br /> <br />MZ~RION CX~XJNTY i NO <br /> <br /> SINGLE FAMILy DNELL!NGS <br />MAILING ADDRESS: <br /> <br />P.O. BOX 395 <br />GERVAIS, OREGON 9?026 <br />,r'-'-'-~ONE: 982-7029 <br /> <br />LOT; BLOCK: : SECTION; <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />~' 0~CUPANT LOAD; <br /> <br />SITE NUI'48ER: 2981 <br />VALUATION; <br /> <br />MAP: <br /> <br />TYPE: 'MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRA~T'OR, NO+ 1911 <br />IAK)LFER S HEATING <br />290 YOUNG ST. <br />K~OODSURN, OREGON 97071 <br />PHONE: 981-451~ <br /> <br /> ITEM <br />FORC AIR F1JRN 100000 BTU OR LESS <br />MECHANICAL SASE FEE <br />FLEET SURCHA&'GE -ZONE ? <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: NOLFER'S HEATING <br /> <br />5318 <br /> <br /> QUANTITY AMOUNT <br /> $6,0o <br /> $1o.o0 <br /> $8,98 <br /> $0.80 <br /> ,'TO AL ASSESSED'FEES $25.76 <br /> : PRE~ICYOSRECEI PTS $0.00 <br /> :THIS:RECEIPT $?,.5. ?8 <br />,,: ,,BALANCE DUE $0.00 <br /> <br /> :::EE,,C,E I PT NO: 5879 <br /> RECEIVED BY: CL ...... ~ ............. _ .......... T.,YPE:,,~K ': CHECK ~: 8635 <br /> <br />RE,.,.,ZR,...~r.r~ X~'.C'~'~'~;_r,c'--?.,~p.E~.~O~D _O_F_'.180. FAIL~ TO I~ ALL <br /> <br />~EMARKS: FURN <br />DONALD E. V,~OODLEY. 1'4¢.RION COUNTY DUILDTNG OFFICI'AL / BY ............... <br /> <br />DE COPY <br /> <br /> <br />