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STAVTON HEATNG C~LN <br /> <br />!~OR CITY VALIDATIO~I <br /> <br /> b.t=:., <br /> <br /> MEcHaNICaL ~ERM~ APPLICA~ON <br /> Please complete <br /> <br />1- LOCATION O~ <br /> <br /> MARION COUNTY <br />' ' BUILDING INSPECTIO~ <br /> 3160 LANCASTER DR NE- <br /> SALEM OREGON 9730B-139E <br /> <br />Date: <br /> <br /> .',2~. COI~TTRACTOR [Nb'X~A.I.LATXON oNLY <br /> <br />~. FOR OW~R ~LATION8 <br /> <br />W~ will provide plan review se4'vJce if you complete <br />Section 5I'I and submit [wo (2) ~:1~ ol~plans and <br />specifications with this application <br /> <br />- 4:~Opm Issued by: <br /> <br />COMMERCIAL ~-I <br /> <br />s s Jo '1 <br /> <br />$ 4,50 <br />$4.50 <br />$4.5O <br />$4.50 -- <br /> <br />$3.00 <br /> <br />$ 7,5O <br /> <br /> <br />