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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 5,.{~8-5147 <br />CODE-A-:PHONE 4:~0 P.M. - 8:00 A.M. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE'. <br /> <br />,DATE;01/31/90 <br />OWNER: <br /> <br /> FP.~NCIS, DON <br /> <br />TIME: <br /> <br />CATSGOR~ <br /> <br />OCCUPANC~ <br /> <br />RESIDENTIAL <br /> <br /> 5510 WINDSOR ISLAND RD NE 82 CONTRACTCITY; <br />KEIZER OR 97303 <br /> .................. KE.tZER <br />USE OF SUtLDtNG' <br /> <br />UGB OCCUPANT LOAD <br /> <br /> NO <br /> NO OR BEDROOMS <br /> <br />MARLING <br /> <br />SAME <br /> <br />PHONE: 390-9980 <br /> <br /> LOT. BLOCK: SECTION <br /> 82 <br /> <br />.. HiLB~OOD. I~)~IlLE HO~E PAI~K <br /> <br /> SITE NUIRBER: 9347 <br /> VALUATION ~ <br />TOWNSHIp: RANGE ZONE MAP <br /> <br />UNITS IRREG. LOT CORNER <br /> NO NO <br /> <br />TYPE: MECHANICAL <br /> <br />3552 SILVERTON RD NE <br />SALE~I, ORF_J3ON 9?305 <br />PHONE: 382-3643 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEN <br />HEAT PUMP <br />MECHANICAL BASE FEE <br />FLEET SU:RCHARGE -ZONE 1 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: C. J. HANSEN CO. <br />RECEIVED BY: P~ <br /> <br />21673 <br /> <br />(~JANTITY AMOUNT <br /> 1 $6.00 <br /> $10.00 <br /> $1.28 <br /> $0.80 <br /> <br />TOTAL ASSI~t~EO :FEES <br />PREVIOUS RECEIPTS <br />TH IS RI~.EI PT <br /> <br />$18.08 <br /> $o.oo <br />$18.08 <br /> <br />BALANCE SUE $0.00 <br /> <br />RECEIPT NO~ 22982 <br />TYPE: CK CHECK ~: 14147 <br /> <br /> THIS iS A VALID PERMIT *:] TI-1I$':::PEI~IT EXPIRES ittO. [lAYS FR~4 I~ i~ IF <br />~l~ ~~ A ~ iF~I~ FAI~ ~ ~ A~ <br /> ~LL ~D ~ID. <br /> <br />REMARKS: HEATPUMP R~0542 <br /> <br />[~ALD E. NOODLEY, f, tARION C~NTY BUILDING OFFICIAL / BY <br /> <br />FO~, Mc ~,~,,,, ~_v 6/8? OFFICE COPY <br /> <br /> <br />