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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 /> MECHANICAL PERHIT <br />DATE/TIME : ~3/11/~7 15:36 PERHIT NO <br />TYPE : Resident. addition/alteration STATUS <br />OCCUPANCY : R-3 ISSUED <br />PAGE : 1 TO EXPIRE <br /> <br />77-B1630 <br />ISSUED <br />03/11/1997 <br />Bg/B7/1997 <br /> <br />WORK <br /> <br />ADDRESS : <br /> <br />MARION COUNTY <br /> <br />13694 EN!,EN RD NE AR <br /> <br />-- ,o STREE : <br /> <br />PARC~], NJHB R : 40360-'008 <br /> <br />LOCATOR: ~41WllC 81600 <br /> ZONE: EFU <br /> <br />OWNER NAME : FAVLICEk~¥INCENT ,J & ,JUDITH A <br /> <br />AI='PLICANI' <br /> NA~E <br /> ADDRESS <br /> <br />PHONE <br /> <br />PAVLICEK,VINCENT J & JUI)ITH A <br />2335 E MADRONA <br />CANBY~ )R <br /> <br />503-~66-2546 <br /> <br />NTRACTOR <br />PHONE <br /> <br />: ROTH ZACHERY HEATIN(; INC <br />: 000-0000 <br /> <br />OCCB: 0014088 <br /> <br />Urd. ts Descr/~tion <br /> <br /> 1 Forced air, 100,000 BTU & ],ess <br /> :[ State SLUr ch a'rg~.~ <br /> <br />6.00 <br /> .80 <br /> .00 <br /> <br /> Assessed fees : 16.80 <br /> AdjustMents : .00 <br /> Total fees : 16.80 <br />PAYEE~ PAVLICEK,VINCENT ,J & ,JUDITH A Total pay~ents: 16.80 <br /> Balance due : .00 <br />********************************************************************************** <br /> <br />THIS PERHIT IS HOW-TRANSFERABLE AHD EXPIRES 188 DAYS FRON ISSUE DATE IF WORK HAS <br />NOT COMMENCED~ OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF WORK <br />FAILS TO HEET ALL REQUIRENEHTS OF STATE LAWS AND HARIOH COUNTY ORDIHANCES. UPON <br />WRIITEW REQUEST, ONE SIX (6) HONTH EXTENSION HAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL. / BY MBULL <br /> <br /> <br />