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Permit - 1267764
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Permit - 1267764
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Entry Properties
Last modified
2/10/2011 1:52:22 PM
Creation date
9/2/2003 3:21:39 PM
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Template:
Permits
Permit Address
203 1ST ST
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
5239
Permit Doc Type
Permit Document
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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on 8 pfopor'ty I own or occupy. <br />I &ma registered builder OR ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE <br /> <br />OWN~'fEt 10/23/91 <br /> <br /> GARCIA, <br />S~IUS ADDRESS: <br /> <br />12:15:41 TAXLOT: <br /> <br />Cd~UE~iS~ ~YR~: <br /> <br />RE~IDEN'f'IAL <br /> <br /> 203 1S'f' S1 <br />AUMSV ~. LL, E <br /> <br />MAILING ADDRESS: ------ <br /> <br />OR 9?325 <br /> <br />CONTRACT CITY; UGB: <br /> <br />AUf'45VIt~E NO <br /> <br />:OCCUPANT LOAD: <br /> <br /> PO BOX ?83 <br /> AUMSVI L,L.E <br /> PR ON E: <br /> <br />WDTli: 4 DEPTI:I: 6 AREA: 25 <br /> 100 125 12500. <br /> <br />MERRi Pf P:LD~5 ADDN <br /> <br /> SI'TE NUMBER: 5239 <br /> VALUA-[.I.ON ~- <br />TOWNSHIP: RANGE'. ' ZONE; , MAP'. <br /> <br />CHITS; 8~ : I~RE~, LOt? "21Al"' "~8~'~AAi' '- Rlvt 51 <br /> ~ NO., YES <br /> <br />TYPE.- MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CON1RACIOR, NO. 01090 <br /> Day Heating Co <br />225 Division NE <br />Salem, 97301-0000 <br />~H(:)NE = 363-4822 <br /> <br />36290 <br /> <br /> ii'EM <br />GAS C~NNEC't'ION <br />FLOOR FURNACE <br />MECHANICAL SASE PEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: Day Heating Co <br /> <br />IOt'AL ~ED FEES <br />PREVIOUS RECEIPt'S <br />IHIS RECEIP1 <br /> <br />QUAN'Y'ITY A~/OUN't' <br />I $2.U0 <br />1 $6.90 <br /> <br /> $0.90 <br /> <br />$18.90 <br /> $o.0o <br />$18.90 <br /> <br />BALAN£;E DUE $0.00 <br /> <br />INVOICE NO: 38221 <br /> <br /> IqECE.IVED BY: c'l f'YPE: CK CHECK ~: 7917 <br /> THIS IS A VALID PERNIT * THIS PER~IIT EXPIRF_~ 180 DAY~ FRO~I ITS ISS.qUE DATE. iF <br />CONSTRUCTION CEASES FOR A P~IOD OF 180 DAYS, OR IF C~STRUCTiON FAILS TO ~ET ALL <br />REQUIR~I~J~/T5 OF $TATg L~ AND I~IARION COUNTY BUILDIN~ AND ZONING ORDINANCES. THIS PE6~'~IiT <br />~:iHALL BSC~E NULL ANDVOID_ <br /> <br />RgMARK$; GA,~ FURN R~3050 ~ <br />DONALO E. WOODLEY, MARZON COUNTY BUILDING OP'EiCIAL / BY ......................................... <br /> <br />¢ OFF,CE COPY <br />FORM if MC 15-56 REV, 4/'90 <br /> <br /> <br />
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