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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 />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />OwN~A'rE: 05/11//92 TIME: '11:33:40 fA~£0f: !CAf~a0nv; <br />SITUS ADORESS~AYNES' NiKE 86~¥~08t~bN YYPE: : ocCUPANCY: <br /> <br />RESiDEN'ilA <br /> <br /> 625 OAK S'f' <br /> AU~SV,f, LLE <br />:use OF <br /> <br /> OR 9?325 <br />.... AU~'4~SViEEE ..... NO <br /> <br />:OCCUPANT LOAO: <br /> <br />~AILIN~ AL~DMESS~ ~___ <br /> <br />SUBDIVISION: <br /> <br />,°"0 80X 371 <br />AUIVlSViLLE OR 97325 <br />PHONE: 749-1195 <br /> <br />LOT: Bt. DC K: <br /> <br />3?3-8438 <br /> SiTE NUIViE~ERz 92-02001 <br />SECTION; ' f0w~i~: ~XN~ALUA:F iON: ~6~ ~-i'' MAP; <br /> <br />,WIDTH; <br /> <br />' : NQ NO <br /> <br />TYPE: IvlECHAN,[CAL PERr41'F OR APPL[CA'FION NO: 405?2 <br /> <br />CONfRAC'i'OR, NO. 65439 <br />BEYF HEATING <br />PO BOX 56'1 <br />,~CIO, 97374-055? <br />PHONE: 394-3461 <br /> <br /> irF3~,l <br />HEAT PUMP <br />FORC A~R FURNACE UNDER 100000 BTU <br /> MECHANICAL BA~E FEE <br /> MECHANICAL STATE SURCHARGE <br /> <br />'FO'f'AL ASSE~ED FEES <br />PRE¥~OUSRECEiP'fS <br />THiS RECE[P'f' <br /> <br />QUAN'T'I'I'Y ANOUN'/ <br />~ $~.oo <br />1 $6.00 <br /> $1o.oo <br /> $~.~o <br /> <br />$23.10 <br /> $0.00 <br />$23.~0 <br /> <br />BALANCE DUE $o.oo <br /> <br /> PAYEE: BE,..%'r HEA'FiN~./ iNVOiCE NO: 42602 <br /> <br /> THIS 1S A VALID PERiVllT THIS PE~iT ~PIR~ 180 DA~ F~ iTS I~E DATE. iF <br />~ST~CTI~ C~ ~R A P~IOD OF 180 DA~, OR iF ~T~CT[~ FA[~ TO ~EET ALL <br />R~iR~TS OF ~TATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~ING ORB[N~C~, TH[~ PE~iT <br />~ALL B~E NULL ~D VOID. <br /> <br />REMARKS: FA FUN'N, HEAT PUMp <br /> <br />0ONALD E, WOODLEY, I~IAR~CtNI COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br />FORM # MD 1 §-66 REV, 4/~0 OFFICE COPY <br /> <br /> <br />