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MARION COUN ( BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> MECHANICAL PERHIT <br />DATE/TINE : 06/17/97 09:29 PERMIT NO <br />TYPE : Resident. addition/alteration STATUS <br />OCCUPAHCY : R-3 ISSUED <br />PAGE : I TO EXPIRE <br /> <br />?7-04481 <br />ISSUED <br />06/17/1777 <br />12/14/1997 <br /> <br />WOrK g~O ..... ~-FO~O~T~ ...................................................................... <br /> <br />S'iYI'E ADDRESS : <br /> 10613 MiLL CREEK RQ SE AH <br /> <br />CITY: MARION COUNTY <br /> <br />C!:~OSS STREET : <br /> <br />FAKCEL NUi'~BER : 56446-000 <br /> <br />OWNER NAME <br /> <br />APF't. ICANT <br /> NAME <br /> A!)DRESS <br /> <br />: PICARD, WAYNE M & BETTY <br /> <br />: ROBERT LLOYD SHEET HE'IAL :[NC <br />: PO BOX J07 <br /> <br /> INDEPENDENCE, OR 97351 <br />PkONE : 8~8-386~ <br /> <br />LOCATOR: 081WS2B 012~0 <br /> ZONE: AR <br /> <br />ROBERT LLOYD SHEET HETAL INC OCCB: 0062476 <br /> <br />Bg~b fee, - ............................................ <br />Forced air, 100,000 BTU & less 6.00 <br />Furnace ducts 7.58 <br />State surcharge 1.!8 <br />Refu~d .8~ <br /> <br /> Assessed fees 24.68 <br /> AdjustMents .00 <br /> Total fees 24.68 <br />FAYEE. RORERT LLOYD SHEET HE'IAL IN{] Total pa?ent's: 24.&8 <br /> Balance Oue : .00 <br />********************************************************************************** <br /> <br />THIS PERMIT IS HOW-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 100 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (&) MONTH EXTENSION MAY BE GRANTED. <br /> <br />SICi,[ATURE OF APPLICANT: <br />************************************************************************************ <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />