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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE 588-5147 <br />C(~DE-A-PHONE 4 30 PM - 8 00 A M <br /> <br /> I urn performing work on 8 property I own or occupy <br /> <br />DATEr 01,/18/89 TIME; 2;25; l?p <br /> DORAN, TOM <br /> <br />RESIDENTIAL <br /> <br /> 880 8TH ST <br />AUMSVILLE OR 9?325 <br /> <br />AUMSVI LLE NO <br /> <br />OCCUPAN]LOA0 <br /> <br /> NO OFS£DROOM~ <br /> <br />MAIWNG ADDRESS <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-?264 <br /> <br />? 6 25 8S <br /> ?4 95 7030.00 SF <br /> <br />SUBDIVISION <br /> <br />DEL IV[AR III <br /> <br />SITE NUI'4B ER: 6384 <br />VALUAT ION: <br />RANGE ZONE <br /> <br /> 2N RS <br /> NO NO <br /> <br />MAP <br /> <br />TYPE: MECHANICAL PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TON []ORAN <br />PO BOX 185 <br />SUBLIMITY 97285 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />0OMESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />9013589 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY Ar,~UNT <br />1 $4.50 <br />2 $6.00 <br /> $10.00 <br /> $3.84 <br /> 1.03 <br /> <br />$25.37 <br /> $o.o0 <br />$25.37 <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE= TOM [:)ORAN ~/~ / INVOICE NO: 14408 <br />RECEIVED BY: PB - ~ /~,//__. TYPE~ IN CHECK ~: 0 <br /> <br />* THIS IS NOT A PER~IT. THIS APPLICATION I~JST ~O THROU6~N A REVIB4 PROCESS~ERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFO~4ATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIE~J: BY .......... DATE <br />REMARKS: HO VT <br /> <br />CITY JURISDICTION: BY ............. DATE ............ <br /> <br />ror4M * MC 1:~6 R~V 11/88 OFFICE COPY <br /> <br /> <br />