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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 · ~lem, Oregon 97301~3670 <br />Office Hours: 8:00-4:30 · Pltm~: (603) 586-5147 · 24-HR In~pection Line: (503) 3?3.4427 <br /> <br />WORK ~E~g ..... ;-I-;g-OR~ER-3=T ............................................. <br /> <br />SITE ADDRESS : CITY~ AUMSVILLE <br /> 5~ 8TH ST AM <br /> <br />CROSS STREET : DELMAR <br /> <br />PARCEL fllIM~ER : 9e~12-951 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: DGF INVESTMENT CO <br /> <br />LORENS HEATING b SHEET METAL <br />2355 HYACINTH ST HE <br /> <br />LOCATOR: BB2W25DB1B3BB <br /> ZONE: RS <br /> <br /> SALEM, OR 973~3 <br /> PHONE : 37e-7&4B <br /> <br />CONTRACTOR : LORENS flEATIHG & sHeET METAL INC OCCB: 0~07594 <br /> PHONE : 37~-7640 <br /> <br /> Units Description F~e <br /> 1 ~ese fee <br /> 1B.BO <br /> ] Heat punps, under 3 ~ons <br /> ! S~ate surcharge ,83 <br /> ] Refund .~0 <br /> <br /> Assessed fees : 17.33 <br /> Adjustments : <br />Total fees : <br />PAYEE~ LORENS HEATING & SHEET METAL INC ~o~a] pa~ents: 17.3317'33 <br />~a~ance cue - .~ <br /> <br />THI~ PERNIT I~ <br />NOT CO~II~CE'D ~M:ZR~E~L~I~=~-~--~[RE5~18~ DAYS FROH 18SUE ~TE IF IJORK <br /> ,~ · .uF~ ~ ctm~ ~ FOR A PERIOd, OF 8~ DAY~. OR IF #O~K <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONAtD E WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY TTOHEY <br /> <br /> <br />