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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM - 8'00 A,M <br /> <br /> Other ........ <br /> I haPe fesd and ~gree to the terms stated on the reverse side <br /> <br />CATE; 06/01/88 TIME: 9:37;228 <br /> LUCAS, REX <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSIRUOTION TYPE <br /> <br /> 5?50LNEY ST <br />AUI'4SVlLLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />AUfvLSV I LLE NO <br /> <br />SUBDIVISION <br /> <br />PO 8OX 290 <br />AUMSVlLLE 9?325 <br />PHONE; 749-25?6 <br /> <br />SITE NUIV~ER: <br /> VALUATION: <br /> <br />I CT R[ O6'K SECTION TOWNSHIP RANGE <br /> <br />WIDTH DEPTH AREA UNITS <br /> 70 100 <br /> <br />IRREG LOT <br /> NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAL ' <br /> <br />OCCUPANT LOAD <br /> <br /> ZONE MAP <br /> <br />CORNER <br /> NO <br /> <br />TYPE: PLUMEING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 28638 <br />]-.G.NICHOL PLUr,,1BING, INC <br />P.O.EOX 166 <br />AUMSVILLE, OR 97325 <br />PHONE: 749-2071 <br /> <br />ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />WATER LINES, 1ST 100 FEET <br />SEWER LIND.S, 1ST 100 FEET <br />PLUMBING EASE FEE <br />FLEET SURCHARGE -ZONE 9 <br />PLUr4BING STATE SURCHARGE <br /> <br />PAYEE; T.G.NICHOL PLUMBING, INC <br />RECEIVED BY: J8 <br /> <br />QUANTITY ANE!UNT <br />6 $45.00 <br />1 $20_00 <br />1 $20.00 <br /> $20.00 <br /> $3.84 <br /> $5.?5 <br /> <br />TOTAL ASSEC:x.SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$124.59 <br /> $o.oo <br />$124.59 <br /> <br />BALANCE [~JE $0.00 <br /> <br />INVOICE NOt 94?7 <br />TYPE; IN CHECK ~: 0 <br /> <br /> THIS IS A VALID PERNIT* THIS PERMIT EXPIRES 180 DAYS FR0~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 ~, OR IF ~ST~OTI~ FAI~ TO ME~ ALL <br />RE~IR~TS OF STATE ~ ~D ~I~ ~N~ BUILDING ~D Z~ING ORDIN~C~, ~IS PE~IT <br />~ALL 8~E NULL ~D ~ID. <br /> <br />REMARKS: 5 PIX S&N LINE NICHOL PLBG <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />,or~u ,, Mc ,!, ,,~ n~ e,~- OFFICE COPY <br /> <br /> <br />