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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> MECHANICAL PERMIT <br />DATE/TIME : 07/83/96 10:38 PERMIT NO : 96-04938 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUE~ : ~7/~3/1996 <br />PA~E : I TO EXPIRE : 12/3~/1996 <br /> <br />S)'TE ADDRESS ~ C~TY= MARION COUNTY <br /> lg~8 DONAI_D ED NE AR <br /> <br />CROSS STR~E'[ : <br /> <br />;:'ARCEI.. FIi~MBER : -4~787-'000 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONfRACTOR <br /> PHONE <br /> <br />: RYAN,FRANCIS X & AIIDREY M--'¥RUST <br /> <br />: ROTH ZACHERY HEAT!NG :[NC <br />: PO BOX 1:!55 <br /> <br /> CANBY, OR 97~.:~ ]. 3 <br />: ROTH ZACHERY HEATING :[NC <br /> <br />L.OCATOR: 041W18 00600 <br /> ZONE: EFU <br /> <br />OCCB: 0014008 <br /> <br />Un:i. k's Descr i .~t ion Fee <br />.... I ..... Bmse T~.~ ................................................................................... <br />1 Forced air, ].~,~,~ BTU & less 6.~0 <br />1 Gas outlets 2.~ <br />1 State surcharge .98 <br />1 Refund .88 <br /> <br /> Assessed fees : 18.90 <br /> AdjustMents : .00 <br /> Total fees : 18.90 <br />PAYEF: ROTH ZACHERY HEATING INC Total payments: 18.90 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROH ISSUE BATE IF WORK HAS <br />NOT CONNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 1Be DAYS. OR IF WORK <br />FAILS TO MEET ALL REQUIRENENTS OF STATE LAWS AND NARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (6) NONTH EXTENSION NAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br />*********************************************************************************** <br />DONAt.D E WOOD[.EY, MARION COUN'¥Y BUILDING OFFICIAL. / BY MBULL <br /> <br /> <br />