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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 />l am a registered builder OR theeutho zed repesen~ ye <br />of ~ registered builder, <br /> <br />Other <br /> <br />MICHAELSON~ JEO & ROXANE ' RESII)ENTtAL <br /> <br /> 1~891 LEVERHAN RD SE ~6~TRAO~-~ ............ ~'~'0~'~ ................... ~'~0~-'~ <br /> AUN~VII..LE OE ~7325 ~ MARION COUNTY~ NO <br /> <br /> PHONE: 749-2672 ,,~ VALUATION:SITE NU~ER~ <br /> <br />TYPE: HECHAHICAL PERHIT OR APPLICATIOH HO: <br />COhlTRACTOR~ NO. 02~47 <br /> Stayton He~t~ng & A~¥' Condi'~io <br />207 ~rd St <br />Stay,on. 97~8~-0008 <br />PHONE: 769-3495 <br /> <br /> ITEM <br />GAS CONNECTION <br />FORC AIR FURNACE UN~ER 18~000 BTU <br />MECHANICAL BASE FE£ <br />MECHANICAL STATE SURCHARGE <br /> <br />48747 <br /> <br />TOTALASS~SSEB FEES <br />PRE~IOUS.REOEIPT8 <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />I $2.00 <br />I $6.00 <br /> $10.00 <br /> <br />$18.90 <br /> $0.00 <br />$18.90 <br /> <br /> BALANCE 9UR $0.00 <br /> <br /> .............. ::::::::::::::::::::::::::::-~c~::'~_-:-::: . T~PE:.CK CHECK e: 20~94 <br /> $ THIS IS A VALI~ PERHIT ~ 'THISPERHiT"EX E$~[ .... 7 ................................ <br />COHST UCTIOH CEASES FOR ,"P£RZ O ',ze Zssu AT[. <br /> ALL BECOHE HULL AN~ VOI~. _ .... ' -"*~ ..... ,-,,- ~--*-- u~vz~RHg~ THIS PERHIT <br /> <br /> REMARKS: FA FURN~ G'A$ CONN <br /> DONALQ E. WOOQLEY~ HARION COUNTY BUILBING OFFICIAL / BY <br /> <br />FORM # MC 15-56 RE¥. ~/90 OFFICE COPY <br /> <br /> <br />