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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 /> of a registered builder, <br /> <br />) O~her <br /> <br /> DATE: 03/31/92 TIME.+ .16:1W:03 :" ' <br /> <br />SITUS ADORE~SJ~. ~.R. JEWK~ CONSTRUCTION TYPE: O~CUPANCY: RESIOEN'I'iAL <br /> <br /> 13791 NI~'FER~A DR -- ' <br />USE ~: OR'" '-'9T002 ; :~0 o~ <br /> ~RI~ C~NTY NO <br />:~AiG~~ *OO~ASs: ................... <br /> <br />NO NO <br /> <br />TYPE: ME&,'HANICAL PER]~Ii'r OR APPLICA'riON NO= 39108 <br /> <br />CONTRACTOR, NO. 14008 <br /> ROTH ZACHER¥ HEATING [NC <br />593 SE 1~1' AVE <br />CANBY, 970t~ <br />PHONE: 266-1249 <br /> <br /> I TEN <br />GAS CONNECTION <br />FORC AJ, R FURNACE UNDER IOOOOD BTU <br />APPLIANCE OR AOCE~ORY (NOT OOVERED) <br />MECHANtCAL t3A~E FEE <br />I~'IECHAN,[CAL STATE 3AJROHARGE <br /> <br /> C.~JANTITY AK~JNI' <br /> 1 $2.00 <br /> 1 $6.00 <br /> 1 $4.50 <br /> <br />TOTAL ASS~EO FEES <br />PREVZCiJS RECEIPTS $0.00 <br />'rNz$ RECE1PT $23.63 <br /> <br />BALANCE L~E <br /> <br /> 411~6 <br /> 6899 <br /> <br />PAYEE~ RD'tH ZACHERY HEATING 1NC R~EiP'[' NO: <br />R~CEIVED BY: 0¢~ TYPE: CK CHECK <br /> <br />* THIS ~ A VAL/D PEI~I/T · THIS PEI~4IT EXPiRE~ 180 OAY~ FROM ITS ZEx.'SUE DATE. <br />fFADN~TRUCTION CEA~F~ FOR A P~ZOD OF IS0 ~, OR ZF ~T~CTI~ FA[~ TO ~EET ALL <br />~IR~TS OF STATE ~ ~D~RI~ ~NTY BU[LDI~ ~D Z~IN~ O~[N~. ~HiS ~IT <br />~ALL B~E NULL ~O ~IO. <br /> <br />RE,ARKS: ~gN, ~ LN, APPLL[ANCE/ACC <br />[:XDNAL~ E. ~¢.DODLEY, MARiONCOUNTY BUZLD[NG OFFiCiAL / BY .................................. ~.~ ................................... <br /> <br />OFFICE COPY <br /> <br /> <br />