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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWN,~ T'g: ] 0/01/91 'I',[~E~ 13f2B: 33 <br /> <br /> SELLAN0, GENE <br /> <br /> 100 ERIN <br />r)E'l' F,TQ i f' <br /> <br />TAX LOT: <br /> <br />CbNSTMUCT~ON TY~B <br /> <br />OCCUPANT LOAD: <br /> <br />RESi D~'~ F <br /> <br /> OR 9?342 i ] : <br />................................................... "OE-l'~ l T ........ ~ .... ~ <br /> <br />PHONE: 854-3030 <br /> <br /> BLOCK: <br /> <br />SUBDIVISION: <br /> <br /> SiTE NUMBER.' 14384 <br />ARIA; UNIYS: Y IRRE¢, LOT: !CORNER; <br /> <br />TYPE: MECHANICAL <br /> <br />GON'T'RAC']'OR, NO. ?594 <br />LOREN 'S HEATING <br />2355 HYACINTH NE <br />5AL~M, OR 97203 <br />PHONE: <br /> <br />PERMIT OR APPLICATION NO: 35?04 <br /> <br /> ifEM <br />HEAT PUMP <br />FORC AiR FURN 100000 BTU OR LE~5 <br /> MECHANICAL BA~E FEE <br /> MECHANICAL STAf'E SURCHARGE <br /> <br />PAYEE: LOFt.fEN'~ HEATING <br /> <br />'FO'rAL AS~E~ED FEES <br />PRBVI.C~JS RECEJPI'S <br />THIS RECEIPT <br /> <br />QUAN'TTT'Y AMOUNf' <br />1 ~.00 <br />1 $5,00 <br /> <br /> $1.~o <br /> <br />$0_00 <br /> <br />BALANCE DU~ $0.00 <br /> <br />iNVOICE NO: 37617 <br /> <br /> RECEIVED BY: D¢42 ................................................................................... TYPE: CK CHECK ,I~: <br /> <br />* THIS 13 A VAI. J[D PEI~MIT * THI~ PE~iT ~PI~ 180 ~ ~ iT5 I~E ~fS. IF <br />~T~CTI~ C~ ~ A ~Ri~ OF 180 ~, OR IF, ~ST~TI~ FAI~ [o ~ET ALL <br />~I~TS OF STATE ~ ~O ~RI~ ~ BUI~I~ ~O Z~l~ ORDiN~C~. THiS <br /> <br />00NALD E_ NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-58 Fi~V. 4/90 OFFICE COPY <br /> <br /> <br />