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10/0~/98 TL~ 17:18 FAX ~ S08 588 ?948 <br /> <br />}dARION BL~)G INSP <br /> <br /> Ooi <br /> <br />FOR CITY 'USE ONLY <br />P.t~iwd By: Date: <br /> <br /> ~CHA~CAL PE~ ~P~TION <br /> <br />WHO IS DO~G ~ WO~ <br /> <br />2B. FOR O~ ~ST~LA~ON <br /> <br /> ~ comp~ed ~m~ ~ ~ll b~ my own general <br /> <br /> s~cmrt , rom or ~e~d~r <br /> him su~ontr~tor~. I will hi~ on~ <br /> tt~ Co~et~n Cont~zo~ Boa~; <br /> <br /> C~a~or: Boa~. 1 ~ll im~ttO <br /> <br />Agent's $igaamt~: <br /> <br />MAR/ON COUNTY BUILDING INSPECTION <br />COMMUNITY DSWELOPMFa.wr CENTER <br />3150 Lancaster Dr. NE. Suite (2, SaLem, Oregon 97305 <br />8iOOam - 4;30pm <br />~24 H~ ]n~pgcfioA Li~e ~73.4~7 FAX ~$$-7948 <br /> <br />OTY <br /> <br />Rnc~l Air up to 1~0,000 BTU <br /> <br />6~ Fu~ (ov~ 1~,~ BTU) <br />O~ Wat~ H~ x $li00 <br /> <br />3T~M~ -- x $~=$__ <br /> <br />Un~3Ton __ x $iI00=$ <br />3Ton~dMu~ __ X &~.~ <br /> <br />~ H~ & ~t x S9.~ <br />~fl~ ~ H~ (~:~s dam) x $9.~ <br /> <br />W~{o~ / Fuepl~ __ X S15.00 <br />~D~r x ~.00 =$__ <br />~ / [ndu~ ~tor x $~0 <br /> <br />~or How ~ O~ly) <br />~ (u rcqul~ by ~e B~l~n~ Offi~) <br /> <br />3. PLAN ~W SECTION <br /> Marlo0 Cotmty do~ not t~uim a plan ~vicw. ~ will ~m~ pl~ (~2~, m~um ~ ho~0 <br /> ~icw ~0 ]fy~ comp]~ S~ 5B and ~t ~ (2) m= of H. Sfinm~ F~ (,01% x AD) <br /> <br />BAS~ FE~ A~eued on ALL APPLICATIONS: <br /> <br /> A 1. En~:t ta~al of fcc~ from Se.~. ~P, <br /> k2. Add S~= 5~;e (~ X Al <br /> <br /> B, ~r 3~ of ~e A1 f~ Ptm Renew <br /> <br /> F. Ina~on ~ which no fca ~ ~fi~ly <br /> <br /> <br />