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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 688-5147 <br />COOE-A-PHONE 4:30 P.M. - 8;00 A,M. <br /> <br />Other. <br /> <br />I i~Bvo road and agpee to the terms stated on the reverse side of <br />this document <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> BATE= 11/09/89 TIME: <br />OWNER~ <br /> CURRIER, NATHAN <br /> <br />4:14:32p <br /> <br />TAX LO~: <br /> <br />CONSTRUCTION TYRE: <br /> <br /> 20420 BOONES FERRY RD <br />AURORA OR <br /> <br />9?002 <br /> <br /> CONTRACT CITY: UGB: <br /> <br />I'¢,ARIONCOUNTY~ NO <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br /> SAI'4E <br /> <br /> PHONE: 678-2280 <br /> <br />LOT~ BLOCK: <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br /> NO <br /> <br />CATEGORY: <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br /> 8814 <br /> <br /> ZONE: MAP: <br /> <br /> CORNER: <br />: NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 14008 <br />ROTH HEATING <br />59:3 SE 1ST AVE <br />OANBY, OREGON <br />PHONE: 266-1249 <br /> <br /> ITEM <br />GAS CONNECTION <br />FORC AIR FURN 100000 BTU OR LESS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 5 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: ROTH HEATING <br /> <br />20169 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $2-00 <br />1 $6.00 <br /> $10-00 <br /> $6.40 <br /> $0_90 <br /> <br />$25_30 <br /> $0.00 <br />$26.33 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 21413 <br /> <br />RECEIVED BY: PR TYRE; CK CHECK ;i*: 3692 <br />* THIS I$ A VALID PERMIT TM THIS PERMIT EXPIRES 180 DAYS FROM ITS I,~¢JE DATE. IF <br />CONSTRUCTION CF_.A~ES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND I'&ARION COJNTY BUILDING AND 70NIN6 ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />RENARKS: GS FURN R;1*6656 /~ ~ ~ .~ <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL .......... <br /> <br />OFFICE COPY <br /> <br /> <br />