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MARION COUNTY BUILDING IINSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NEE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I a~ performing work on a property I own or occupy. <br /> I am a registered builder OR the authorized representative <br /> of a registered buitder. <br /> The work will be performed by a registered builder. <br /> Other. <br /> I have read and agree to the terms stated on the reverse sfde of <br /> <br /> OATE: 10/22/92 TIHE: i1:25:45 <br />: OWNER'. :t~X [6¢; :CATEGORY; <br /> SHIPPEY, QERALO , RESIDENT[AL <br /> <br />AUHSVILLE OR 97525 ' ' <br />USE OF BUILDING; NO OF 8EOROO~4S: <br />MAILING ADDRESS: ~O~61gl~jC)~; <br /> <br />SAME <br /> <br />PHONE: <br /> <br />749-1785 <br /> <br />SITE NUMBER: 92-03742 <br />VALUATION: <br /> <br /> 24 88 2W ~ AR~ , 49 <br />AREA: 45000. ;UNIT¢:F I~EG, LOT; :CORNERr <br /> , NO NO <br /> <br />TYPE= MECHANICAL PERMIT OR APPLICATION NO: 4~566 <br /> <br />CONTRACTOr, NO. 0~944 <br /> Je% Heatzng Inc <br />1935 Silver,on Rd NE <br />Salem, 97305-0000 <br />PHONE: <br /> <br /> ITEM <br />FORC AIR FURNACE UNOER 100000 8TU <br />HECHANICAL SASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: Jet Heating Inc <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> i $6.00 <br /> $10~00 <br /> $0,80 <br /> <br />$16.80 <br /> $o.oo <br />$16.8o <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 45454 <br /> <br />RECEIVED BY: PM TYPE: CK CHECK ~: 21108 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES iGO BAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />BALL BECOME NULL AND VOIO. <br /> <br />REMARKS: F/A ELEC FURNACE <br /> <br />DONALO E. WOODLEY, MARION COUNTY 8UILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM//MC 15-56 REV, 4/9O <br /> <br /> <br />