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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 <br />CODE-A-PHONE 4 30 PM - 8 00 A,,M <br /> <br />ow~TE: 0?/2?/89 TIME: 10:55:04a TA×LOr C*TEGORY <br /> RICE, GARY <br /> <br /> ?85 OLNEY ST CONTRACT OIT¥ Ue~) O00LIPANT LOA~) <br />AUMSVIL LE OR 97325 <br />US~ OF ~Ulb~ING AUMSVI LLE NO <br /> <br /> PARCEL ~2 <br />PO BOX 290 <br />~.UMSVILLE OR 97325 <br />PHONE: 749-25?6 SITE NUMBER; 7929 <br /> '~ALUAT ION + <br /> <br /> 80 ~ 10 8800.00 SF NO NO <br /> <br />RESIDENTIAL <br /> <br />TYPE; MECHANICAL PERMIT OR APRLIC,ATTON NO= 9017707 <br /> <br />CONTRACTOR, NO, 234? <br />STAYTON REFRIGERATION <br />207 N 3R5 <br />STAYTON, OREGON 9?383 <br />PHONE: ?69-3495 <br /> <br /> ITEM QUANTITY AMOUNT <br />GAS CONNECTION 1 $2.00 <br />FORC AIR FURN 100000 ~TU OR LESS 1 $6.00 <br />DOMESTIC RANGE HOOD I $4,50 <br />DOM EXHST FANS & DRYER VENTS 2 $6.00 <br />MECHANICAL BASE WEE $10,00 <br />FLEET SURCHARGE -ZONE 3 $3.84 <br />MECHANICAL STATE SURCHARGE $1_43 <br /> <br /> TOTAL ASSESSED FEES $33,77 <br /> <br /> ~ BALANCE DUE $0,00 <br /> <br />PAYEE: STAYTON REFRIGERAT~ , /)z2 ~, INVOICE NO; 18802 <br />RECEIVED BY: PB :~ ¢~_~ ~_' TYPE= IN CHECK ~ 0 <br />~ THIS IS NOT A PERNIT. TMIS'APPLICA¥ION ~UST C~ TMROU~M A REVIE~ PROCESS ~4ERE TME <br />FOLLOWING ~UST BE COMPLETED.' fT IS THB RESI~3NSIB'ILITY OF THE APPL~,6ANT TO ASSURE TMAT <br />ALL NECESSARY INFORMATION H~B~N PROVIDED. <br /> <br />PLAN REVIEN; 8Y ............. DATE CITY JURISDICTION: BY ~ DATE <br />REMARKS: GAS FURN HD VT <br /> <br />,.I <br /> <br /> <br />