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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />2~'0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performin9 work or~ a property I own or occupy, <br /> lamareglsteredbullderOR( ) the authorized representative <br /> of a registered builder, <br /> The work will be performed by a registered builder, <br /> Other <br /> <br /> this document. ~ <br /> DATE: 01/20/95 I-INE ;.-..J, 5-:. 28; ~ 1 ;'fX~'Lb~i i c~aonv; <br />i DAVIDSON~ 6ARY / i R~$IDENTIAL <br />~ITUB A~D~Si I CONSTRUCTION TYPE: , OCCUPANCY: <br /> <br />, 1095 CLEVELAND ST -- ~, CONTRACT CITY: i UGB; !OCCUPAN~T LOAD: <br />' AUMSVILLE OR 973;25 I MARION COUNTYI NO ', ~.. <br /> <br /> PHONE; 58~-741~ i SITE NUMBER: 93-00247 ~ ; <br /> ' VALUATION: ~ <br /> <br />:LOT; BLOCK; ; SECTION; i TOWNSHIP; : RANGE: iMAP; <br />;. i j. i NO ! NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: 44925 <br /> <br />CONTRACTOR, NO. 65459 <br />8EST HEATING <br />PO 80X 567 <br />$CIO. 97374-0567 <br />PHONE: 3;94-3;461 <br /> <br /> ITEM <br />SAS CONNECTION <br />FORC AIR FURNACE UNDER lO0000 BTU <br />MECHANICAL BABE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREV,~OU$ RECEIPTS <br />THIS RECEIPT <br />BAL~NCE':OUE <br /> <br />QUANTITY AHOUNT <br />1 $2.00 <br />1 $6,00 <br /> $10.00 <br /> $0.90 <br /> <br />$18~90 <br /> $0.00 <br />$18.90 <br /> <br /> $o.oo <br /> <br /> PAYEE: BEST HEATING RECEIPT NO: 47091 <br /> RECEIVED BY: P8 ~L~ ' TYPE: OK CHECK l~: 2483; <br /> <br />* THiS IS A VALID PERHI:T THIS PERMIT:EXPiRES J.80 DAYS:FROM ITS ISSUE DATE: IF <br />CONSTRUCTION CEASES FOR A PERIOD: OF 180 DAYS,.OR IF:CONSTRUCTION FAILS TO MEET ALL <br />EOUIRENENTS OF STATE LA#S AND HAE[ON:COUNfY BU~EO[.NG¢'RND :ZONZN60RD[NANCES, THIS PEEN[T <br />S~LL BECOHE NULL AND VO:~D. <br /> <br />REMARKS: F/A FURN, GS CONN <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-56 RE~¢, 4/~0 <br /> <br /> <br />