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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · S~.em, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · PhO~s: (~03) 588-5147 · 24-HR Insp~ctionLIrm: (503) 373-4427 <br /> <br /> HECHANI£AL PERHZT <br />DATE/TZHE I J3/14/97 13=J9 PERNZ¥ HO = 97-1~1715 <br />TYPE : Resident. addition/alteration ~,~ = ISSUED <br />DCCUPN~CY ; R~3 .a~ar.,~ = ~3/14/1~ <br />PAGE ~ I TO E~ = ~/1~/19~7 <br />~0RK ~;R~ ...... ~-FBRR;~[ ...................................................... <br /> <br />SITE ADDRESS : CITY: MARION COONTY <br /> 15G~20TTAWAY RD HE AR <br /> <br />[:ROSS STREET = LIBERTY <br /> <br />?ARCEL ~UMBER = <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: NETTER~NELLIE <br /> <br />ROTH ZACHERY HEATING INC <br /> BOX 1265 <br /> <br /> C~NB¥. OR <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />97013 <br /> <br />:, ROTH ZACHERY HEATING INC <br />: ~0-00~0 <br /> <br />LOCATOR: 041W13 ~0800 <br /> ZONE: EFU <br /> <br />OCCB: ~14~8 <br /> <br />IJni~ De~cr~ptionBase fee Fee <br /> 10.0B <br /> I Forced air~ 100~8G0 BTU & less 6.08 <br /> 1 Gas outlets 2.00 <br /> ~ Refund .00 <br /> <br /> Assessed fees : 18.90 <br /> Adjustments : .0~ <br /> Tot~l fees : 18.90 <br />PAYEE: ROTH ZACHERY HEATING INC Total paX~ents: 18.90 <br /> ~alance due : .~ <br /> <br />~S PER~!T IS I~N-TRAHSFERA~.E ~ND EXPIRES 181)~YS <br />F~I ~~--ENCL~s OR IF _(~?STRUCTIgHCE~E8 FOR ~ PE~IO~DF-18~ ~AYS~ OR IFWgRK <br /> RiL TO. flEET ~L REgUIREHENTS DF STATE L~gg ~lD I~RION ~3UNTY ORDII~NCE~. UPON <br />g TTENREQUEST, ONE ~IX (&) MONTH EXTENSION NAY BE GRANTED." <br /> <br />SIGNATURE OF APPLICANT: ..................................... <br /> <br />DONAI..~ E WOODLEY~ ~ARION COUNTY BUILDING OFFICIAL / BY M~ULL <br /> <br /> <br />