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MARION COUNTY BUILD'lNG INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Othor <br /> <br />SIGNATURE OF APPLICANT <br /> <br />~ o/o~/~o <br /> <br />LOPER, r4~L <br /> <br />TAX LO'I <br /> <br />CONSTRUCTION TYPE <br /> <br /> ?565 POE[ ROAD <br /> AU~ViLLE <br /> <br />USE DP 8U~LOING <br /> <br />OR <br /> <br /> CONTRACT CITY <br /> <br />IViARI ON OrJJN ;:Y <br /> <br />UG8 <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br />CATEGORY <br /> RESi DEN / i/4L <br />OCCUPANCY <br /> <br />OCCUPANT <br /> <br />PHONE: 749-1740 <br /> <br />$11F NUC4B ER .* <br /> VALUA '[' I ON: <br /> <br />IRREG LOT <br /> NO <br /> <br /> 1 t 384 <br /> <br />ZONE <br /> <br />CORNEH <br /> <br /> NO <br /> <br />MAP <br /> <br />fYPE: MECHANICAL <br /> <br />CONfRACTOR, NO. 499 <br />C+ J + HANSE, N CO. <br />PO BOX ?39? <br />SALE~I, OREGON <br />PHONE: ~62-3643 <br /> <br />PERMIf OR APPLICAFION NO: <br /> <br /> 1 FEM <br />HEAT PUMP <br />AIR HANDL UNIT fO IO00U CU PT <br />MECHANICAL B.'~,SE FEE <br />PLEEf' bURCHARGF. -ZONE 3 <br />MECHANICAL 8rArE SU~HA~E <br /> <br />PAYEE: C. d. H/,kN.!¢EN CO. <br /> <br />277"Z0 <br /> <br />'Y'OI"AL A..%.~ESSED FEES <br />PREV I OM8 RECEIPTS <br />1HI5 RECEI P! <br /> <br />QUANIlfY Af,"rOUNI <br />1 SC.00 <br />1 Sa.SO <br /> $1o.oo <br /> $3.84 <br /> Si,os <br /> <br />$25.3( <br /> $0.00 <br /> <br />BALANCE DUE <br /> <br />RECEIPT NO: 29360 <br /> <br /> RECEIVED BY: f,;~42 FYPE; OK CH~CK ~ 15358 <br />* THiS 1~ A VALID PERMIT * THiS PER~IT EXPIRES 180 DAYS FROM iTS I,S,YAJE DATE. iF <br />OON~IRUCTION CEA~F_~ FOR A PERIOD OF 180 DAY~, OR IF Cr.,~STRUCTiON FAIL~ TO MEET ALL <br />REQUiRI~AI~T~ OF STATE ~ AND MARION COUNTY BUILDING AND Zt.~IN~ ORDINANCES, THIS <br />,~HALL 8~%)ff1E NULL AND VOID. <br /> <br />REMARKS; H~'T R~MP/ANU R~3946 <br /> <br />DONAL[) E. NOODLEY, MARION COUNFY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />