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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OBEGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4-30 P..M - 8::00 AM <br /> <br /> I am pcrforrning work on a properly I own or occupy <br /> I amafeg~steredbudderORt ]theauthorlzed ropresentah~e <br /> of a reg*sterod budder, <br /> The work will bo performed by a fermis:trod builder <br /> Other .......... <br /> I have read and agree to the terf3s Stated on the reverso Side of <br /> thh~ document <br /> <br />DATE; 11/08/88 TIME; 2:49:39p <br /> <br /> DETROIT STATE PARK <br /> <br />CONSTRUCTION TYPE <br /> <br /> 47 MILE mT. NO SANTIAN HINY SE <br />DETROIT OR 97342 <br /> <br />USE OF BUILDING <br /> <br />MARION COUNTY NO <br /> <br />SUBDIViSiON <br /> <br />20024 SILVER FALLS HWY SE <br />SUBLIMITY OR 9?385 <br />PHONE: 873-8681 <br /> <br />LOT RLOCK SECTION TOWNSHIP <br />3 <br /> <br /> 104.800 <br /> <br /> SITE NUMBER: <br /> VALUAT I ON: <br /> <br />10 5E <br />AC NO <br /> <br />COMMERCIAL <br /> <br />OCCUPANT LOAD <br /> <br /> 5943 <br /> <br /> ZONE MAP <br /> <br />CORNER <br /> NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />OETROiT STATE PARK <br />20024 SILVER FALLS HNY SE <br />,SUBLIMITY OR 97385 <br />PI-IONE: 873-8681 <br /> <br /> ITEM <br />HEAT PUMP <br />DOM b-XHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 7 <br />MECHANICAl_ STATE SURCHARGE <br /> <br />9012385 <br /> <br />TOTAL .ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $6.0o <br />1 $3-00 <br /> $10.00 <br /> $8.9b <br /> $0.95 <br /> <br />$28.91 <br /> <br /> $0.00 <br /> <br />BALANCE DUE $28.91 <br /> <br />PAYEE: ~/~. RECEIPT NO: <br />RECEIVED BY: PB ~;2~_ TYPE: CHECK ~: <br />* THIS IS NOT A PERMIT. THIS APPLICATION NUST 60 THROUGH A REVIE~ PROCES~ ~riERE THE <br />FOLLC~ING NUST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NECESSARY INFORNATION HAS BEEN PROVIDED. <br /> <br />PLAN RS¥iE~: BY <br /> <br />REMARKS: HEATPUMP FAN <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY ........ DATE <br /> <br />ro~ ,¢ Mc ,¢~r¢ ,~ e.~? OFFICE COPY <br /> <br /> <br />