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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, <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 />DATE: 06/03/88 TIME: 8:11:19p <br /> LUCAS. REX <br /> <br />SIIUS ADDRESS: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 5?40LNEY <br />AUMSVI LLE <br /> <br />U,~F OF BUILDING; <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY'. UGB: ; OCCUPANT LOAD: <br />ALCMSVI LLE ~ NO ;, <br /> <br />SOeD~WSlON: <br /> <br />P.O_ BOX 290 <br />AUNSVILLE. ORE.DM 9?325 <br />PHONE,; ?49-25?6 <br /> <br />SITE NUMBER: 4585 <br />VALUATION: <br /> <br /> NO NO <br /> <br />MAP: <br /> <br />TYPE: MECHANICAL PERHIT OR APPLICATION NO: <br /> <br />8891 <br /> <br />CONTRACTOR. NO. 2849 <br />STAYTON REFRIGERATION <br />207 N 3RD <br />STAYTON, OREGON 97382 <br />PHONE: 769~3495 <br /> <br /> ITFJct <br />FORC AIR P"URN 100000 BTU OR <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />~ECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1 $8.00 <br /> $10.00 <br /> $3.84 <br /> $0.80 <br /> <br />TOTALASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$20.64 <br /> $0.00 <br />$20.64 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: STAYTON REFRIGERATION INVOICE NO: 955? <br />RECEIVEO BY: CL ........... TYPE: IN CHECK ~: O <br /> <br />* THIS IS A VALID PERNIT * THIS PERNIT EXpIRE~ 180 DAYS FRON ITS ISSUE DATE. IF <br />CQ~TRUCTII3N CEASE~ FOR A PERIOD OF 180 DAYS, OR IFCCNSTRUCT[ON FAIL~ TO fflEET ALL <br />REQUIRENENTS OF STATE LANS AND f~RION COUNTY 8UILDINGAND ZONING ORDINANCES, THIS PERt4IT <br />SHALL BECONE NULL AND VOID. <br /> <br />REMARKS: FURN <br /> <br />DONALD E. NOODLEY. MARION COUNTY BUILDING OFFICIAL /BY <br /> <br />,OhM ,, ~c .,-,~ n~v 6/~ OFFICE COPY <br /> <br /> <br />