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MARION COUNI ' BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 58875147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HECHANICAL PERN[T <br />~[/TIHE ~Kesxeent.J7/22/97 ~ion/alteration STATusPERHIT NO :: ZSSUED?7-e5547 <br />OCCUPANCY = U-1 ISSUED : B7/22/1997 <br />~ t I TQ EXPIRE : ~1/18/17~8 <br /> <br />WORK ~B~O ..... .~-AP~ !r -~I,~PBI~I~-H?I~ -~;-~ -F,A~ -COI~-FOR-SFIOF-'?;=;O~ ............. <br /> <br />SITE ADDRESS : <br /> 70~ MICHAFL WY AM <br /> <br />CITY: AUMSVILLE <br /> <br />CROSS STREET : <br />PARCEL NilMBER : <br /> <br />4TH ST (RESTORATION AUTOMOBII_ES) <br />57799-~07 <br /> <br />OWNFR NAME : WEESE, KEN <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />SUBURBAN PROPANE LP <br />PO BOX 286 <br /> <br />LOCATOR: 082W25AB8840~ <br /> ZONE: <br /> <br /> WHIPPANY~ NJ 87981 <br /> PHONE : 800-0080 <br /> <br />CONTRACTOR : SUBURBAN PROPANE LP 0CCB:~8112216 <br /> PHONE : ~80-8808 <br /> <br /> Units Description Fee <br /> 1 Base fee 1B.00 <br /> 1 Suspended heaters 6.08 <br /> I Gas outlets 2.00 <br /> 1 State surcharge .90 <br /> 1 Refund .00 <br /> <br /> Assessed fees : 18.98 <br /> Adjustments : .00 <br /> Totel fees : 18.90 <br />PAYEE: SUBURBAN PROPANE I.P Total paxments: 18.90 <br /> Belance due : .00 <br />********************************************************************************** <br /> <br />THIS PERflIT IS NON-TRANSFERABLE AND EXPIRES 188 ]~YS FRO~ ISSUE DATE IF HORK HAS <br />NOT COHNENCED, QR IF CONSTRUCTION CEASES FOR A PERIOD OF 11~ DAYS. OR IF WORK <br />FAILS TO BEET ALL REgUIRENEHTS OF STATE LAkJ~ Ai~/HARIDH COUNTY OR~IHAHCES. UPOH <br /> <br />SIGNATURE OF APPLICANT. .~_~,f~_..~.___/__~.~___v___~__~_ <br />************************************************************************ <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DSTONE ~ / ~ <br /> <br /> <br />