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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-PRONE:: 588-7904 <br /> <br /> ) I 8m performing work on a property I own or occupy <br /> / lam a registered builder OR ( ) the authorized representative <br /> of a rogistered builder, <br /> ) The work will be performed by a regmtered builder <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> this doctJmont <br /> <br /> DATE: 11/27/92 TIME: 15:59:45 <br />OWNER <br /> PATTON, DAVID <br /> <br />SITUS ADDRESS <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 12602 FRY ROAD <br />AURORA <br /> <br /> NE <br />OR 9?002 ~c~'b'~c~3T~UNTY ur4~ <br /> <br />SUBDIVISION <br /> <br />PHONE: 678-2640 <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />LOT BLOCK SECTION TOWNSHII~ <br /> 22 45 <br />WIDTH DEPTH AREA UNITS <br /> <br />CATEGORY. <br /> RESIOENIIAL <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />RANGE ZONE MAP <br />1W EFU <br />iR~G LOT <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 62720 <br /> ACE FIEATIN6 & COOLING <br />14704 SE RUPERT DR <br />MILWAUKIE, 97267 <br />PHONE: 654-1515 <br /> <br /> ITEM <br />GAS OONNEOTION <br />FORC AIR FURNACE UNDER 100000 BTU <br />GAS WATER HEATER <br />OTHER (AS PER MECHANICAL CODE) <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />44124 <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />2 $4.00 <br />1 <br />i $7.50 <br /> $4.50 <br /> $i0.00 <br /> $1.60 <br /> <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: ACE HEATING & COOLING RECEIPT NO; 46215/ <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO NEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS: F/A FURN~ WTR HTR, 2 GS CONN, FURNACE DUCTS <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ___~ <br /> <br />OFFICECOPY <br /> <br /> <br />