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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 a registered builder OR ( ) the authorized representative SIGNATURE DP APPLICANT: <br /> Other <br /> <br /> DATE: 04/13/92 'f'[ME: 14:25:14 <br />OWNER: TAX 1_Sf: i C&~E~O~ <br /> ~'T"T'HEW R~ER'T' & CA~LYN PIZZU'I'I ?0380-310 RESiDENtIAL <br /> ; bcbbPANCV: <br />SITUS ADORESS; CONSTRUCTION TYPE; , <br /> <br /> q 079~ ARNO'f' RD NE ~ ue~: ;OCCUPANT LOAD; <br /> AU~RA OR 97002 <br /> ~RiON ~NTY! NO <br /> <br /> PHONE: 6'~8-5538 S,[TE NUIVlBER: <br /> VALUAT ION: <br /> <br />W~eTH: 1. , ; NO~ YES <br /> <br />'¥YPE: MECHANICAL PERMII' OR APPLiCATiON NO= 38924 <br /> <br />CON'f'RAC'FOR, NO. <br />1'4AT'f'HEIN ROBERT & CAROLYN PIZZU'I' <br /> <br />PHONEs 678-5638 <br /> <br />OTHER (.,~A~.' PER ,MECHANICAL COOE) <br />~ECHANICAL BASE FEE <br />~EG~ANICAL STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL A~S~EO FEES <br />PRE¥1OUS RECEIPTS <br />THIS RECEIPT <br /> <br />AIV'F, JXJNT <br /> $?_50 <br /> $10.00 <br /> $0.88 <br /> <br />$18.~8 <br /> <br /> $0_0o <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: , . . i,,,--, RECEIPT NO: <br /> RECEIVED BY: MB~~,,;:,: ............................. : .......... ;,,. ............. '¥'YRE~__ CHECK ~: 0 <br /> <br />~ THiS iS A VALID PE~IIT $ THISPERM/T EXP[RE,~ 188 DAYS FROM iTS iEx~SUE DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 188 DAYS, OR IF CONSTRUCTION FAiL~ TO MEET ALL <br />REQUiR~ENTS OF STATE LAW$ AND r~ARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PE~iT <br />~:3HALL BEC~E NULL AND VOID.. <br /> <br />REMARKS: 0tJC'f' WORK <br /> <br />~NALD E. WOOOLEY, r'&ARiONCOUN'i'Y BUILDING OFFiCiAL / BY <br /> <br /> OFFICE cOPY <br />FGRM # MC 15.56 REV. 4/'90 <br /> <br /> <br />