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; : Received By: <br /> <br />: : Date: ,;. <br /> <br />MARION <br /> ~enetor Bldg. Ho. 225 <br /> 220 High Street NE <br /> Sa,em, Oregon S7301 q~--/ ¢~-~8 ~'J' <br /> Phene 588-5147 <br /> <br />MEcHANIcAI-::~ERMIT APPLICATION <br /> <br />:':ArHand ngU~toverl0 000cu:ft. :"i'""., ': 7;5,0;!: :; <br />Evaporat ~16oo er,~,,:,:: ,', ,::, ,: ,, ...... : ,: : 4;;:::,';: .:4.50~::: :~:i :::~ ,,:~,, ::,': <br /> :4;S0 ~ ' ':: <br /> <br /> Bo~asflCExhaust Fans & Dryer Vents <br /> Forum;inStallation or in,reliction <br /> of e~b wodd ~o~ 7,80 <br /> <br />each gas piping Cystem:df Up t6 <br /> <br />Reinspection Fee <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE $ <br /> <br /> : Please return COMPLETE APPLICATION with the indicated <br /> <br /> ; I am performing work on e property I own or occupy. <br />:]]: : (X) lama~Jste~dbullderOR( )theauthodzedrepresentati~ SI NATUREOFAPPLICA~///~ <br /> <br /> ( )~ Tho wolk WIll be ~r formed by a registered builden <br /> ( Othe~ <br /> :~ ( I ague to instil a~o~lng to t~e submitted plans a~d speelfJ~etl0ns the law8 of the state of Oregon and the o~inan~a ~ Marion Count. <br /> <br /> R~. ~87 <br /> <br /> <br />