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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 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I am performin9 work on a property I own or occupy, <br /> I af~l a registered builder OR the authorized represen a ire <br /> of a registered builder, <br /> The work will be performed by a registered builder, <br /> Other <br /> I h~Ve read and agree to the terms stated on the reverse side of <br /> this document <br /> <br />DATE; 12/28/89 TIME: 15:02;11 <br />OWNER: <br /> MUIq~-IAfv~4ER, PEEN <br /> <br />g~GNATURE OF APPLICANT; <br /> DATE: <br /> <br /> TAX LOT'. :CATEGORY: <br /> CONSTRUCTION TYPE; OCCUPANCY: <br /> <br />RESIDENTIAL. <br /> <br /> 5510 WINDSOR ISLAND <br />KEIZER OR <br /> <br />97303 <br /> KEIZER NO <br /> <br />S0BDIws~oN: <br /> <br />PHONE: 390"3896 <br /> <br />LGT: BLOCK~ <br /> <br /> SITE NUI',lSER: 9121 <br /> VALUATION: <br />SEC'bOM: , T0~NSHI~: RA~E: ZONE: MAP: <br /> <br />WIDTH; DEPTII: AREA; <br /> <br />TY~E: MECHANICAL <br /> <br />CONTRACTOR, NO. ?594 <br />LORE~*S HEATING <br />2355 HYACINTH NE <br />SALE. N. OR 9?303 <br />PHONE: <br /> <br /> ITEM <br />HEAT PUMP <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 1 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: LOREN'S HEATING <br /> <br />IRREG, t_0T; CORNER: <br /> NO NO <br /> <br />PERMIT OR APPLICATION NOt <br /> <br />21027 <br /> <br />TOTAL ASSESSED FEES <br />PREVZCUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ~NT <br /> 1 $6.00 <br /> $10.00 <br /> ¢1.28 <br /> 0.80 <br /> <br />$18.08 <br /> $0.00 <br />$19.08 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 22308 <br /> <br /> RECEIVED BY: c'l TYPE: CK CHECK ~: 7959 <br /> <br />* THis IS A VALID PERMIT * THIS PER~.IIT EXPIRES 180 DAYS ~ ITS ISSUE DATE. IF <br />02NSTRUCTION CEASES FOR A PERIOD OF 180 iDAY8,, OR IF CONSTRUCTION FAILS TO MEEt ALL <br />R~JIRE~IB~'S OF STATE LA~5 AND ~RION COUNTY ~UILDING AND ZONiN60RDINANCk-'t% THIS PE~IT <br />~HALL 8EC~iE NULL AND VOID. <br /> <br />RElY[ARKS: HP R:150065 <br /> <br />DONALD E- WOODLEY, MARION COUNTYBUILDING OFFICIAL <br /> <br />,~,M ,, ~c ....... ~v ,.~= OFFICE COPY <br /> <br /> <br />