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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room t32 · Salem, Oregon 97301-367B <br />Office Hours: 8;00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> MECHANICAL PERMIT <br /> <br />'fYPE : Resideat. addi~ion/al~era~io~ STATUS : ISSUED <br />OCCUPANCY : R-~ ISSUED : 12/~4/1~5 <br /> <br />WORK ])ESC ;: GAS CON~"~EPi...ACE~AC~ :URNA~:E <br />S'~'~'E ADDRES~ ~ ]S~].6 MAPLE ..[~JAF C'T NE AR CITY: MAke, ON COUN'tY <br /> <br />CROSS ~FREET ~: BO(:)N~:~S FERRY:~ES'I'.i/4 MILE SOUTH OF' NORTI-I HAR'IOH SCHOOL <br /> <br /> ZONE; AR <br /> <br />DWNF:R NAOmi',; : WORDF. N,¢ BILL <br /> <br />: <br /> <br /> WOLFI;;RS IN[; <br /> 290 YOUNG ST <br /> <br /> PHONE :',98'1--4%1, :1, <br /> <br />[.;[:tt,l'l'RA{:T Ol~ : WUL F'EF:S <br /> t',:'H 0NJ:: : 98 t-45',l, 1 <br /> <br />97071 <br /> <br />O~CB.. 000.1.9.I,. <br /> <br />1. I-orl. t(.d mu, ¢,00,~0¢0 l~fl.] & less <br /> <br />1Wood st'oves/firel~ I;~ces <br /> Gas ou'b'l, ets <br /> <br /> Refund <br /> <br /> Ass~,~s.sed fees ~,"i,. 7~ <br /> Ad ,justments <br /> To'ca ]. fees <br />' A ';' ',. , ....... ~- To~al pazmen-l:s: ,~5,,'7g <br />P YI,,L,, W01,,H:,R,~ Ii,lC <br /> <br />THiS PERMIT I8 NON-TRANSFE~ABLE AND EXPIRE~ 18~ DAYS FROM ISSUE DATE IF ~ORK HAS <br />NOT 60HMEflCED, OR IF CONSTRUCTION CEASE~ FOR A PERIOD OF 188 DAYS, OR IF WORK <br />FAiL~ TO ~EET ALL ~EQUIREHENTS OF STATE LAW~ ANB HARION COUNTY ORDINANCES. UPON <br />WRITTEN ~EQHES'T, ONE SIX (6> ~ONTH EXT~SIOH'~AY BE <br /> <br />SI'~;NA'(URE OF APF'L]]CANT= ................................................................................. <br /> <br /> <br />