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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 />OthEr <br /> <br /> 0AIC¢ 02/27/92 [i~4E.' 16:06:06 <br />OWNER BERTHEL, JOSEPH <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />TAX LOT <br /> <br />OR 9?'342 <br /> <br />DE'I ROi T NO <br /> <br />F'HONE: 854-3204 <br /> <br />SUBDIVISION <br /> llO <br /> ~IT£ NUTtiER+- 92-0092(¢ <br /> VALUA 1' iON: <br /> <br />IRREG LOT NO CO RN ERNO <br /> <br />RESi DEN f <br /> <br /> TYPE: MECHANICAL <br /> <br />CONIRACfOR, NO. <br />6ERIHEL, JOiCEPH <br /> <br />PERt4If OR APPLICATION NO: <br /> <br />38520 <br /> <br />854-3204 <br /> <br />GA5 CONNECTION <br />EON% AiR FURNACE UNDER 100000 BIU <br />[YOM E~(H~[ FANS ~ DRYER VENF5 <br />GAS WATER HEALER <br />MECHANICAL BA~'B FEE <br />~ECH~NNICAL 5IAfE SURCHARGE <br /> <br />PAYEE: BERfHEL, JOSEPH <br />REC~iVgD BY; DM2 <br /> <br />QUANIIIY <br /> 1 <br /> 1 <br /> 2 <br /> 1 <br /> <br />IOFAL ~E~BD FEE8 <br />PR~VIOOS RgCEiPI~ <br />THIS RECEIPt <br /> <br />BALANCE_ DUC <br /> <br /> iNVOiCE NO: <br />r'YPE: iN CHECK <br /> <br /> AF~UN l <br /> $2.oo <br /> ~6. tJO <br /> 6.00 <br /> $'?- 50 <br /> $~o,,oo <br /> $1.58 <br /> <br /> $33.08 <br /> $o,oo <br /> $33_ [18 <br /> <br /> $0_ 00 <br />40519 <br /> <br />~ THIS IS A VALID PEI~fllT * THI~ PEI;~IiT EXPIRES 180 DAY~ FRO~I ITS iSSUE DATE. IF <br />CONSTRUCTION CEASE8 FOR A PERIOD OF 18o DAY~o OR IF CON~TRUCTi0N FAIL~ TO ~E6'r ALL <br />REOUIREt4ENT~ OF STATE ~ ANO IYtARION COUNTY ~U[LOIN~ ~NO ZONING ORDINANCES, THiS PERi'liT <br />E, HALL BECOME NULL AND VOID. <br /> <br /> RkNIARKS: F'URN/2FAN~VENI/I/CH/GL ~ <br /> 00NALD g. I~}ODLEY, MARION COUNTY BUiLDiN~ OPEICIAL / BY ......... <br /> <br />OFFICE COPY <br /> <br /> <br />