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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 '8;00 - 4:30 <br />24. HOUR CODE-A~PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br /> <br />SJC~NATt. JR~ OF APPLICANT: <br /> DATE: <br /> <br />DA'T'E: 11/08/91 'i'~E: 8:57:56 <br /> NICHOLS, ~RED <br /> <br />RESi DENI iA.L <br /> <br /> ?635 E¥.tE LAND <br />AU~SVILLE OR 97325 <br /> <br />Nt~RION COUN"flY <br /> <br />LOT: <br /> <br />PHONE <br /> <br />769-8871 <br /> <br /> BLOCK: <br /> <br /> $II'E NUC4BER: <br /> VA LUA'F i <br />SECTION: i TOWNSNip; RANGE; <br /> <br />14814 <br /> <br />MAp: <br /> <br />WIDTH' <br /> <br />OEP1H: <br /> <br />UNITS: <br /> <br />LOT; CORNER: <br /> NO NO <br /> <br />TYPE: 1'4ECHANJ;CAL PERMIT OR APPLICA'f',f, ON NO: <br /> <br />86689 <br /> <br />CONTRACTOR, NO. 00499 <br /> C J Han~e,~ Co ina <br />PO Box ?397 <br />~'le~rd, 97303-0000 <br />PHONE: 362-8643 <br /> <br /> ITEM <br />HEAr PtJMP <br />MECHANICAL BAS'E FEE <br />MEChANiCAL ~'I'A'¥E SURL,~ARGE <br /> <br />QUANI'j'I¥ Ar4OUN'1' <br /> 1 <br /> $~0.00 <br /> $0_~ <br /> <br />TOTAL A~E~ED FEE5 <br />PR~¥If, SUS REC~iP'¥S <br />THIS RECEIPT <br /> <br />$15.80 <br /> <br />BALANCE f,~E $0-00 <br /> <br />REC6~P'f' NO: 38620 <br />TYPE: CK CHECK ~: 17229 <br /> <br />PAYEE; C J <br />RECEIVED BY: <br /> <br />~ THIS 1~ A YALI0 ¢ERf4IT * THiS PEI~iT EXPiREE] 180 DAY~ FROfvl /TS iS,..qUE DATE. iF <br />CONSTRUCT/ON CFJ~E~ FOR A PERIOD OF 188 BAYS, OR iF CONSTRUCTION FAiL~ TO MEET ALL <br />REr,~IRIB'4ENTS OF ~TATE LAN~ AND r, IARION COUNTY ~UILD/N~ AND ZONING ORDINANCES. THIS <br />SHALL 8EO(~E NULL ANDVOID+ <br /> <br />R~RKS: HEAT PU~P R~3894 <br /> <br />OONALD ~. NOOBLEY, MAR~ON COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />