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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:S0 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />~ am 8 registered builder OR ( ) the authori~eO representative S~GNA~U~ OF APPLiCaNT; <br />0 a registered builder, <br /> <br />I have read and agree to f~e terms stated on the reverse side of DATE <br />this doou~ent. <br /> <br />RESIDENTIAL <br /> <br /> 8764 8klAN SQUARE RD SE ,CO~T~&a+CtTY: U~B: OCCUPANT LOAO; <br /> <br />AUH3VILt.,E OR 97525 ~ MARION COUNTY NO <br /> <br />LOT: <br /> <br />SAME <br /> SITE NUMBER: <br />PHONE: ?,9"'24~, VALUATION: <br />BLOdK: SECTION'. 7OWNSHIP: : ~iN~ <br /> <br />WIDTH: <br /> <br />{DEPTH: AREA:24 UNITS: ~ IRR~O'F' CoF1NE~ ~ <br /> 5. AD NO NO <br /> <br />4¸9 <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: 45406 <br /> <br />CONTRACTOR,, NO. <br />GARDNER, STEVEN & CARLA <br />SAHE <br /> <br />PI-lONE ~ 749--2452 <br /> <br /> ITEM <br />HEAT PUMP <br />FORC AIR FURNACE UNDER lO0000 BTU <br /> OTI~ER (AS PER MECNANICAL COOE~ <br /> MECHANICAL BASE FEE <br /> i'iECHANICAL STATE SURCHARGE <br /> <br />TOTAL ASSESo!,.O FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AHOUN [ <br />]. $6 ,. O0 <br />J, $6. O0 <br /> $ ?. 50 <br /> 461. 0.00 <br /> $ :l ,, 48 <br /> <br /> $o. 00 <br />$50.98 <br /> <br />8AI,,IANCE DUE <br /> <br />PAYEE: GARDNER. S~'~V~(N~'~ CARLA RECEIPT N~: 4758Y <br /> <br />· THiS IS A VALID PERHIT · THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE_ IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 1sO DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br />EQUIREHENTS OF STATE LAWS AND MARION COUNTY BUiLDIN~ AND ~ONiNG ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS; 100,BI'U FUR HEATPUMP DUCT <br /> <br />DONAL, D E. NOODLEY, HARION COUNTY BUILDING OFFICIAL <br /> <br />OFFICECOPY <br /> <br /> <br />