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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />228 HIG~ STREET ~E <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br />of a registered builder <br />The work will be performed by a registered builder <br />Othor <br /> <br /> this document 89 <br />DATE: 0~7'16/ TIME: 10:51:14a <br /> <br />OWNER 0DP, AN, TOM <br /> <br />SIGNATURF OF APPLICANT <br /> <br /> DATE <br /> <br /> 90040~350 <br /> <br />CAfEGORY <br /> <br />RESIDENTIAL <br /> <br /> 885 8TH <br />AUMSVILLE OR 97325 <br /> <br />CONSTRUCTION TYPE <br />· Az!~Jl~(~l~Lr ~ U~B YES <br /> <br />MAILING ADDRESS <br /> PO 80X 185 <br /> SUBLIMITY, OR ~7385 <br /> PHONE: 769-736 <br /> <br />DELMAR III <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />6750 <br /> <br />NO OF BEDROOMS <br /> <br />L.QT 2 9 aLOCK <br /> <br /> 74. <br />WIOTH DEPTH <br /> <br /> TYPE: MECHANICAL <br /> <br /> SECTION 25 TOWNSHIP 85 RANGE 2W ZONE <br />100 7400.00 SF NO <br /> AREA UNITS IRREG LOT CORNER <br /> <br /> pERMIT OR APPLICATION NO: 9014600 <br /> <br />NO <br /> <br />MAP <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7384 <br /> <br /> ITEM <br /> OMSS::c HOOD <br />OOM EXHST FANS & DRYER vENTS <br /> <br />THIS RECEIPT <br />BALANCE DUE <br /> <br />OUANTITY <br /> 1 <br /> 2 <br /> <br />INVOICE NO: <br /> <br /> AMOUNT <br /> $4,50 <br /> $6.00 <br /> $10.00 <br /> <br /> $25.37 <br /> $0.00 <br />15477 <br /> <br />RECEIvEDPAYEE: TOMBy;BORANpr ,~V¢~__ TYPEt IN CHECK ~: 0 <br /> <br />FOLL~ING ~ST BE ~PL~ED. IT IS ~E RB~SIBILIW OF ~E APPLIC~T TO ~RE ~AT <br />ALL NEC~ INFO~TI~ H~ ~E~ P~IDED. <br /> <br />P~N REVIEW: BY .......... DATE CITY JURISDICTI~= 8Y ........... DATE ............ <br />RE~RKS: 1-RG HO,2-FNS/~S <br /> <br />OFFICE COPY <br /> <br /> <br />