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MARION COUNTY BUILDING INSPECTION <br />SENATOR. BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM-,"C)R EGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A.M, <br /> <br />DATE: 12/22/g7 <br /> <br /> MILLS, ART <br /> <br />TIME! $:18:31p <br /> ; TAX LOT: <br /> <br /> CONSTRUCTION TYPE; <br /> <br /> 10764 WISE ACRE LANE <br />AURORA <br /> <br />USE OF 8UILsiN~; <br /> <br />R <br /> <br />MAILING ADDRESS: <br /> <br /> SAME <br /> <br /> PHONE: 678-1850 <br /> <br />I ~b.6,v&iS~i <br /> <br />sITE NI, Jr,19 ER,~ 8369 <br />VALUAT I ON .- <br /> <br /> NO I NO <br /> <br />TYPE: :MECHANICAL PERNIT OR APPLICATION NO: 6029 <br /> <br />CONTRACTOR, NO. 48628 <br />,?¢JB-TF. RRA GROUND HEAT SYSTI~, <br />212 E 1ST ST <br />NENBERG, OREGON 971'42 <br />PHONE: 538~0647 <br /> <br /> ITF~ <br />HE. AT PU t,,IP <br />MECHANICAL B/L..~E FEE <br />FLEET SURCHARGE -ZONE 6 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: SUB-TERRA GROUND HEAT <br />RECEIVED BY.' CL <br /> <br />~ THIS IS A VALID PEi~4IT * <br /> <br />REOUZI;~I~iI'~ OF STATE ~ AND MARION ~ <br /> NULL ~0 VOID. : ;; <br /> <br />RENARKS .' HP <br /> <br />QUANTITY ANOUNT <br /> 1 $6+ Oo <br /> $10.00 <br /> $7.6s <br /> $0.80 <br /> <br />$24.48 <br /> $0.00 <br />$24.48 <br /> <br />$0.00 <br /> <br />NO: 6610 <br />!~ CHECK ~t: 3986 <br /> <br /> I~SUE I[tATE. IF <br /> FAiL~, $ ~ ALL <br /> ORDINAl. THIS ~IT <br /> <br />OFFICE COPY <br /> <br /> <br />