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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: S88-7904 <br /> <br />I am a registered builder OR { ) the authorized representative <br />The work will be performed by a registered builder, <br /> <br /> 20721 OLNS'rEAD RD NE I~/'l'f~'~f'cq:r¥ ....... :-ITM lTM ~ <br />AURORA OR ?7882 ~ MARION COUNT~ NO , j , { <br /> <br />SAME <br /> SITE NUH~ER: 93-~2241 <br /> <br />TYPE= MECHANICAL <br /> <br />CONTRACTOR. NO. <br />HALTER, RAY <br />SAME <br /> <br />PHONE: 678-1811 <br /> <br /> ITEM <br />HEAT PUMP <br />MECHANICAL BAgE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: HALTER~ RAY <br />RECEIVED BY: PM <br /> <br />PERMIT OR APPLICATIOH MO= 49488 <br /> <br />QUANTITY AMOUNT <br /> 1 $6.00 <br /> $10.00 <br /> $0.80 <br /> <br /> TOTAL.~SSESSED FEES <br /> P~EVIOU8 RECEIPTS <br />.. ,T~ZSRECEIPT <br /> <br />$16.80 <br /> $0~00 <br /> <br />$0.00 <br /> <br />::,!...:.... .......... RECEIPT NO: 51844 <br /> TYPE: CE CHECK ~: 867 <br /> <br />t THIS IS A VALID 'EXPIRES, ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FALLS TO NEET ALL <br />EQU/RENENTS DF STATE ZONING ORDINANCES, THIS PERHIT <br />ALL SECOHE NULL AHD <br /> <br />REMARKS: HEAT PUMP ....... <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDIN6 OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV. 4/'90 OFFICE COPY <br /> <br /> <br />