Laserfiche WebLink
0G INSP~ <br />· 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE $88-6147 <br />CODE-A-PHOI~E 4:30 P.M. -8;00 <br /> %;, <br /> <br />of a degistered builder, <br /> <br />$IGNATUEE OF APPLICANT, <br /> SATE <br /> <br />11/02/89 TIME.* t'0': 10 :'34a <br /> <br />JOHNCC;)N, HAROLD ~ NANDA SMITH <br /> <br />TAX gOT <br /> <br />CONSTRUCTION TYPE <br /> <br />1025 NAIN ST <br />AUNSVILLE OR 9?325 <br />USE O¢ EUILDI~: ........... <br /> <br /> CONTRACT CITY: UGS; <br />AUMSV't'LLE NO <br /> <br />SHAMROCK V~DEO:?69-2834 <br />PO BOX 426 AUI~VILLE OR 97325 <br />PHONE: 749-2627 <br /> <br />SITE NUtV~ER <br /> VALUATION <br /> <br />2,4 <br /> <br />UNITS: <br /> <br />NO NO <br /> <br /> COP~ERC I AL ~ <br /> <br />NO OF 8EOROOMS <br /> <br />TYPE: NECHANICAL PEI;~IIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 2347 <br />STAYTON REFRIGERATION <br />207 N 3RD <br />STAYTON, OREGON 97383 <br />PHONE** 769-3495 <br /> <br /> ITEN <br />GA~ CONNECTION <br />FORC AIR FU~ 100000 BTU O1~ <br />MECHANICAL BASE FEE <br />FLEET E~URCHARGE wZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: STAYTON REFRIGERATION <br /> <br />20002 <br /> <br />QUANTITY AI~OUNT <br />1 $2.00 <br />1 $6.00 <br /> $10.00 <br /> $3.84 <br /> $0.90 <br /> <br />TOTAL ,~..,~S. ES,SEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECE~ PT <br /> <br />$22.74 <br /> $o.oo <br />$22.74 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 21234 <br /> 0 <br /> <br />RECEIVED BY: P~ .......... TYPE: IN CHECK ~; <br />* THIS IS A VALID PERDIIT * THIS PEI~lIT:EXpIRES180 DAY~FRON ITS I,.~AJE DATE. IF <br />C01,~-rRUCTZON CEASF~FOR A PERZODOF ~80DAYS, OR [F CONSTRUCTZ0N FAILS TO ~EETALL <br /> THIS ~IT <br /> O~ ~TAT~ C~ AND ~IONCO~NTY~UI~DIN~ ~D ZONIN~ ORDIN~C~ <br /> NULL AND VOID. <br /> <br />DONALD E. HOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />