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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 />CROS~ STRFFT : <br /> <br />PARr, El. NIJMRER ~ <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> ~AHE <br /> AD~RF~ <br /> <br />PHONF <br /> <br /> 6392 WALINA CT ~E AM <br />AIIN~VILLE HY <br /> <br />CLARK,RICHARD C & FRANCES <br /> <br />I.OCATOR: 882W238 03608 <br /> ZONE: AR <br /> <br /> : JUOSONS INC <br /> : PO BOX 12669 <br /> <br /> SALEM, OR 97~09 <br /> : 363-4141 <br /> <br />CONTRACTOR : .J!JOSOMS ~NC OCCB: ~034684 <br /> PHONE : 3&~-4141 <br /> <br /> Ilni~ Description Fee <br /> Ba~e Tee le.~ <br /> 1 Hea~ pumpsp 3 tons & over 11.88 <br /> ! St~re surcnar§e 1.05 <br /> 1 Refund .08 <br /> <br /> Assessed fees : 22.85 <br /> Adjustments : .ge <br /> Total fees : 22.05 <br />PAYEE: ,JllOSONS INC ~o~al pagments: 22.85 <br /> ~azance due : .88 <br /> <br />THTS PERHIT I9 NON-TRANSFERABLE AND EXPIRES 1811 DAYS FRO~ ISSUE DaTE IF ~ORK HAS <br />NOT COflHENCEO~ ~R IF CONSTRUCTION CERSES FOR R PER[OD OF 18~ DAYS, OR IF #ORK <br />FRILS TO I~TT a&[ REOU~REHENTS OF STATE L~JS RND NRRZON COUNTY ORD[NAHCES. UPON <br />~RITTEN REOIJ~ST~ ONE SIX (&) MONTH EXTENSION MAY BE GR/~ITED. <br />RIGNATURE OF APPLICANT: .................................... _(~ <br /> <br />DONALD F WOODIEY, MARION COUNTY BUILDIN(; OFFICIAL / BY DSTON~ <br /> <br /> <br />