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MARION COUNTY BUILDING INSPECTION <br />~SENAtC~R BLDG. 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 /> I am performm9 work O¢ apfopeFty I own or occupy <br /> <br />0ATE: 03/16/89 TIME: 10:50:22a <br /> DORAN, TON <br /> <br /> 885 8TH <br />AUMSVILLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />PO SOX 185 <br />SUBLIMITY, OR 97385 <br />PHONE~ ?69-?384 <br /> <br /> TAX LOT 90040--350 <br /> <br /> CONTRACT CITY USByE$ <br />AUMSVILLE <br /> <br />SUBDIVISION <br /> <br /> SITE NUN~ER~ <br /> VALUATION; <br /> <br />DELMAR III <br /> <br />C~6OR~ RESIDENTIAL <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OFBEDROOMS <br /> <br />6?50 <br /> <br /> 22 5 25 8S 2W <br />WIDTH 74 0EP1H 100 AREA 7400.00 UNITS SF IRREG LOT NO <br /> <br />MAP <br /> <br />TYPE; PLUMBING <br /> <br />CONTRACTOR, NO. 312 <br />DMERY & SONS OONST. <br />PO BOX 398 <br />STAYTON, ORE 97383 <br />PHONE; 769-7751 <br /> <br />PERMIT OR APPL).~,AT~O;4 i,iG; <br /> <br /> QUANTITY <br /> ITEN 1 <br />WATER LINES, 1ST 100 FEET 1 <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />INVOICE NO: <br /> <br />AMOUNT <br /> $20.00 <br /> $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />$56.34 <br /> $0_00 <br />$56.34 <br /> <br />$0.00 <br /> <br />15476 <br /> <br />PAYEE: TON DORAN ~.n <br /> TYPE: <br /> IN <br /> CHECK <br /> 0 <br />RECEIVED BY: pr ~].,~_. ~ <br />* THIS IS NOT A pEF~IIT. THIS APPLICATION NUST 60 THROU(~t A REVIEW PROC~ t~HERE THE <br />FOLLOWING MUST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE ARPLIOANT TO AS~JRE THAT <br />ALL NECESSARY INFOR~4ATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY DATE .... CITY JURISDICTION: BY ....... DATE <br />RENARKS: W/S LN 100FT <br /> <br /> <br />