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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, ~.10.22,5 <br />220 HIGIC,"~TRE-tET NE <br /> SALEM, ORF_.~ON 97301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br />24 HOUR CODE-A~PHONE: 588-7904 <br /> <br />DAf'E: 10/01/91 TIME: 13:59:15 <br /> SELLAND, HANK <br /> <br />! CAT,GORY: <br /> <br /> 240 ~YE~ 5l <br />Of:f: f' RD ][ '¥' <br /> <br /> RE~';i DEN Ti AL <br /> <br />OCCUPANCY; <br /> <br />MAILING ADDRESS; <br /> <br />I DE'T'RO 1']' i NO <br /> I NO OF BEDROOMS: <br /> <br /> MACKEY CREEK <br /> <br />LOT: BLOCK: <br /> 2 <br />WIDTH: DEPTH: <br /> <br /> S['f'E NUMBER; 14385 <br /> VALUATION: <br /> <br />; AREA; i UNITS: IRREO, LOT: i CORNER: <br /> , ; NO¢ NO <br /> <br />'fYPE: MECHANJCAL <br /> <br />CONI'RACTOR, NO., ?594 <br />LOREN'S HEA'FiNG <br />2355 HYAC~NI'H NE <br />SALEM, OR 9?303 <br />~HONE: 3?0-?640 <br /> <br />PERivli'f' OR APPLICATION NO: 35?05 <br /> <br />BEAT PU~P <br />FORC AIR FURN 100000 Bf'U OR <br />MECHANICAL BASE FEE <br />~EC~ANiCAL STATE fSURCHARGE <br /> <br />PAYEE: LOREN'S HEATING <br /> <br />QUANTITY ~VIOUN'T <br /> $5.00 <br /> <br /> $~0_O0 <br /> <br /> 'ro'rAL ASSE~ED FEES <br /> PREV ,f, OU,~5 RECEipTs <br /> 'tHiS: RECEIPT <br /> A dr. <br /> iNVOiCE NOt <br /> <br />$23_10 <br /> ~0.00 <br />$23.1D <br /> <br />$0.00 <br /> <br /> RECEIVED BY: f2r42 ............................. s ............................................. I)iYPE-* OK CHECK ~: 9677 <br /> <br />* THIS IS A VALID PERI,lIT :~I~ ~80' ~ ~ [T~ i~E BATE. IF <br />~T~CTI~ C~ F~ A ~ 1~ ~T~CTI~ FA[~ TO ~ET ALL <br />~tR~TS OF STATE ~ ::~O ~EI~: ~: ~J:~J~ ~O ZBIN6 ORDiNal, THIS PE~IT <br />~ALL B~E ~LL ~D ~iD. , ' <br /> <br />REMARKS: FURN/HP R~3655 <br /> <br />DONALD E, NOOBLEY, MARION COUNTY BUILDING OFFICIAL <br /> <br />BY <br /> <br />FORM # MC ~-~6 REV. 4/~0 OFFICE COPY <br /> <br /> <br />