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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 430 PM, - 8 00 A M <br /> <br />SIGNATURE OF APPLICANT <br /> <br />owM~IATE: 06/'07/89 TINE: <br /> <br /> BERNING, BRETT <br /> <br />T&X LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />RES I DENT i A~-" <br /> <br /> 720 MICHAEL NAY <br /> AUMSVILLE <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br /> CQNTR &CT CITY <br /> <br />AUFLSVI LLE <br /> <br />UGB <br /> <br />NO <br /> <br />PO BOX 290 <br />AUMSVILLE OR 97825 <br />R4ONE: ?49-2576 <br /> BLOCK <br /> <br />SECTION TOWNSNIP <br /> <br /> PARCEL <br /> <br /> SITE NUNBER: <br />R~NG~ALUATIO~4:ZONE <br /> <br />8004 <br /> <br />MAP <br /> <br />WIDTH DEPTH AREA 25 UNITS <br /> 167 220 <br /> <br />6S I~REG LOT 2W OORNEH ~ <br />SF YES NO <br /> <br />81 <br /> <br />TYPE: MECHANICAL PERfflIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 2347 <br />STAYTON REFRIGERATION <br />207 N 3RD <br />STAYTON, OREGON 9?383 <br />PHONE: ?69-3495 <br /> <br /> ITE3Vl <br />HEAT POMP <br />DOMESTIC RANGE HOOD <br />DON EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET ,,SURCHARGE -ZONE 3 <br />NIECHANICAL STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />17914 <br /> <br />TOTAL ~ES~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AivE)UNT <br />1 $6.00 <br />1 $4.50 <br />3 $9,00 <br /> $10.00 <br /> $8,84 <br /> 1.48 <br /> <br />¢34.82 <br /> 34.82 <br /> $o.oo <br /> <br />BALANCE DUE $0. O0 <br /> <br />INVOICE NO: <br />CHECK <br /> <br />TYPE: <br /> <br />* THIS IS A VALID PER~IT ~ THIS PEF~IlT EXPiRE.~ 180 DAY~ FROffl ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LAIAIS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEI;~IIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: HEAT PUMP HD VT <br /> <br />0ONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~on~ ~ MO I~ ~, m.~ OFFJCE COPY <br /> <br /> <br />