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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2'::5 <br />-~0 HIGrH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I am performing work on aproperty I own or occupy, <br /> I am a registered builder OR ( ) the authorizer representative <br /> of a registered buitde~. <br /> The work will be performed by a registered builder, <br /> Other .......... <br /> I have read and agree to the term~ stated on the reverse side of <br /> this document <br /> <br />DATE: 02/27/90 TINE: 14:30:54 <br />OWNER: <br /> ZAHRADN I K, STEVE <br />SITUS ADDRESS: <br /> <br />RESI DENT I AL <br /> <br /> 578 PALMER DR <br />KEIZER OR 97303 <br /> <br />USE OF BUILDING: <br /> <br /> CONTRACT CITY: UGB: OCCUPANT LOAD: <br /> <br />KEZZER NO <br /> NO OF BEDROOMS: <br /> <br />673 RCC~D ST SE <br />SALE'N, OR 97306 <br />PHONE: 378-7411 <br /> <br />LOT: SLOCK: SECTION; TOWNSNIP: <br /> 109 <br />WIDTH: 0EPTH: AREA: UNITS: <br />70 100 7000. <br /> <br />SUeCIVISION: <br /> <br />~ONARY ESTATES PH~t5 <br /> <br />SITE NUMBER: 9258 <br />VALUATION: <br /> <br />SF <br /> <br />IRREG. LOT: OORNER[ <br /> NO NO <br /> <br />MAP: <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR. NO. <br />ZAHRADN I K, STEVE <br />673 RCCKWDOD ST SE <br />SALEN, OR 97306 <br />PHONE: 378-7411 <br /> <br />PERMIT OR APPLICATION NO: 22148 <br /> <br /> ITEN <br />GAS CONNECTION <br />FORC AIR FuRN OVER 100000 BTU <br />DONESTIC RANGE HOOD <br />DON EX~ST FANS & DRYER VENTS <br />AIR HANDL UNIT TO 10000 CU FT <br />MECHANICAL BASE FEE <br />FLEET SUI%CHARGE -ZONE 1 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: ZAHRADNIK, STEVE <br /> <br />TOTAL,,~EO, FEES <br />,PREVIOUS RECEIPTS <br />~S:REOEIpt <br /> DUE': <br /> <br />QUANTITY ANOUNT <br />1 $2.00 <br />1 $7.50 <br />1 $4.50 <br />4 $12.00 <br />1 $4.50 <br /> $10.00 <br /> $1.28 <br /> $2.o3 <br /> <br />$43.81 <br /> $0.00 <br />$43.81 <br /> <br />$0.00 <br /> <br /> ,,,',,,j,,/RECEIPT NO; 23488 <br /> RECEIVED 8Y~ PR TYPE., CK CHECK ~: 0 <br /> ..... .......:~;.~, _ ,=~~:=;~____...,,~_ ........................ <br />* THIS IS A VALID PERMIT * ;,,THI~<<<~E~4I~ ,'~EIRES*,180.DAYS¢,,FROM ~ITS I,~E ~TE. IF <br />~T~I~ C~ ~R A ~I~,~OF:,,:*.~:80~,'~,,'~"[,E ~S~CTi~ FAI~ TO ME~ ALL <br />~iR~ OF STATE ~D~RI~ ~N~ BUILDING ~D Z~N60RDIN~C~. ~IS PE~IT <br />~ALL B~E NULL ~D~ID. "' ' ..... ,, '~ <br /> <br />DONALD E. ~CXDDLEY. ~RION CXDUNT~K BuiLDING OFFICIAL / ~Y~ <br /> <br />~OR~ # MC ~5-5~ ~ev ./oa OFFICE COPY <br /> <br /> <br />