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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 AM <br /> <br />owNBATE: 08/04/89 TIME: <br /> <br /> SEEMING, BRETT <br />51TUS ADDRESS <br /> <br />12:17:51p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> ?20 MICHAEL WAY <br /> AUNSVILLE <br />USE CF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUI~VILLE <br /> <br />NO <br /> <br />SUBDivISION <br /> <br /> PO BOX 290 <br /> AUD1SVILLE OR 9?325 <br /> PHONE; ?49-25?6 <br />LOT BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> PARCEL <br /> <br /> SITE NUMBER: <br />~N~ALUATION:zoN~ <br /> <br />WIDTH OEPTH AR~A 25 UNITS <br /> 167 220 <br /> <br />SF YES <br /> <br />RESIDENTIAL <br /> <br />OCCUPANT LOAD <br /> <br />NO OF BEDROOM~ <br /> <br /> 8004 <br /> <br /> RS 51 <br />fid <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 234? <br />STAYTON REFRIGERATION <br />207 N 3RD <br />STAYTON, OREGON 97383 <br />PHONE: 769-3495 <br /> <br /> ITEM <br />HEAT PUMP <br />DOMESTIC P,.N~GE HOOD <br />DO~ EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: BREWING, BRETT <br />RECEIVED BY; xx× <br /> <br />9017914 <br /> <br />QUANTITY AMOUNT <br />1 $6.00 <br />1 $4.50 <br />3 $9_00 <br /> $10.00 <br /> ~3.84 <br /> 1.48 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$34.82 <br /> $0.00 <br />$34.82 <br /> <br />BALANCE BUR $0.00 <br /> <br />INVOICE NO: 19021 <br />TYPE: tN CHECK ~: <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION RUST~OTHROU(~H A RB/IEN PROCESS~HERETHE <br />FOLLOINING I~I.IST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY [NFOI~tAT[ON HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE <br />R~J~RKS: HEAT PUMP HD VT <br /> <br />CITY JURISDICTION: CY DATE <br /> <br /> <br />