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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, ORPGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />this document <br /> <br />OWNEf~AfE: 03/06/92 TIME: 10:33-~45 TAX LOT CATEGORY <br /> <br /> LUCAS, REX 5?699-035 <br />SITUS ADDRESS CONSTRUCTION TYPE OCCUPANCY <br /> <br />COMMERCIAL, <br /> <br /> 190 f~tAiN Sf CONTRABTGITY UGB <br /> AUMSVi LLE OR 97325 AUIv~ViLLE NO <br />USE OF BUILDING <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br /> PO BOX 290 <br /> AUI¥~VILLE DR 9?395 <br /> PHONE: ?49-25?6 ~ilE NUMBER.' <br /> VALUA F i ON .' <br /> <br />92-01007 <br /> <br />OCCUPANT LOAD <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> 25 8S 2W CO <br /> <br />WIDTH 305D5'PTH 200 ~REA ~] 500. UNITS S~' IRRSG LOT NO CORNERNO <br /> <br />/YPE: M~.C,ldANiCAL PERMiI OR APPLiCA'f iON NO: <br /> <br />CONrRACfOR, NO+ 824?6 <br /> Rob,e.,.r't Lloyd ~he,e.,.t; IV~stal <br />PO Box 307 <br />Independence, 9'/351-0000 <br />PHONE: 838-3863 <br /> <br />J, nc <br /> <br />DOC4ESFfC RANGE HOOD <br />EVAPORA1 iVb COOLER <br /> <br />MECHANICAL 5. TALE SURCHARGE <br /> <br />3862'! <br /> <br />qUAN/i I Y AMOUN l <br />1 $/,.50 <br />1 $4.5 O <br /> $10,00 <br /> $0.95 <br /> <br />rOI-AL A~E'SSED FEES <br />PREVIOUS REBEl P'l~ <br />tHiS RECEIPT <br /> <br />$19_95 <br /> $o.00 <br />$19.95 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: Rob~Pt Lloyd Sheet M~tat 1nc INVOICE NO: 40620 <br />RECEIVED BY: PB IYPE: CA CHECK ~: 0 <br /> <br />* THiS 1S A VALID PERfVIIT * THiS PERMIT EXPIRF_..S 180 DAYS FROI~I 1TS iSSLIE DATE. IF <br />CONSTRUCTION CF..JNSF.'~ FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAiL~ TO REET ALL <br />RE(,]IJiRE]~ENTS OR STATE ~ AND INtARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BEOOCqE NULL AND VOID. <br /> <br />REMARKS: EVAPORAIlVB COOLER & RANGE HOOD <br />/,,,.Y,)NALO E. AV, J'OOL~Y, MARION C'OUNfY BUILDING OFFICIAL / BY ~. ............................ <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~6 R~V 4/90 <br /> <br /> <br />