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MARION COUNTY BUILDING INSPECTION <br />BENATOR BLDG, NO 225 <br />220 HIGH STREET NE[ <br /> SALEM OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CQ"~DE-A-PHONE 4, 30 PM - 800 AM <br /> <br />DATE: 01/28/89 TINE.' 10:10:28~ <br /> DORAN, TOM <br /> <br /> 880 8TH ST <br />AUMSVILLE OR 97325 <br /> <br /> SIGNATURE OF APPLICANT <br /> D&TF <br /> <br /> TAX LOT <br /> <br />AUMSVI LLE <br /> <br />RES ~ DEN'fi AL <br /> <br />UG8 <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF GEDROOMR <br /> <br />MAILING ADDR£RR <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 759-7364 <br /> <br />'7 6 25 <br /> ?4 95 7030.00 <br /> <br />SUBDIVISION <br /> <br />DEL MAR III <br /> <br />83 <br /> <br />SF <br /> <br /> SITE NUMBER: 8384 <br /> VALUAT I ON: <br />RANGE ZGNb <br /> <br /> 2N RS <br />IT~nEG LOT NO C°~N~-HNO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />13589 <br /> <br />CONTRACTOR, NO. 55493 <br />TO~ DO~'I,N <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: ?69-?364 <br /> <br /> ITEM <br />DOMESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $4_50 <br />2 $6.oo <br /> $10.00 <br /> f3,~4 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$25.3 <br />$25.3? <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NOt <br />RECEIVED BY: PB TYPE: CHECK ~: <br />* THIS IS A VALID PERMIT $ THIs PERMIT EXPIRES 180 DAYS FRO~i ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL.~ TO MEET ALL <br />REQUIREMENTS OF STATE LAW~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: HD VT <br />DONALD E NOODLEY, MARION COUNTY BUILDING OFFICIAL,/ BY ..... -- .... /~,~___"- ......... <br /> <br />fORM ~ M( 15~6 R~V 11'86 OFFICE COPY <br /> <br /> <br />