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MARION COUNTY BUI&.DING INSPECTION <br />SENATOR' BLE~G*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 />DATE <br /> <br />03/15/89 TIME: 4:14:43p <br />DORAN, TOM <br /> <br /> 810 9TH ST <br />AUMSVILLE OR 97325 <br /> <br /> TAX LOT <br /> 90040~270 <br /> <br /> CONSTRUCTION 'T'YPE <br /> <br />AuMsvI LLE NO <br /> <br /> DEL MAR III <br />PO 80X 185 <br />SUBLIMITY OR 97385 <br />PHONE~ 769-9384 SITE NUMBER: 6745 <br /> VALUATION: <br /> <br /> 14 5 25 8S 2W RS <br /> 58 100 5800.00 SF NO YES <br /> <br />RESIDENTIAL <br /> <br />MAP <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON, ORE 97383 <br />PHONE: 769-7751 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUFBING STATE ,SURCHARGE <br /> <br />PERMIT OR APPLICATION NO~ 9014588 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY Af~XJNT <br />1 $20.00 <br />1 $30.00 <br /> ~3.84 <br /> 2.50 <br /> <br />$56_34 <br /> $o,oo <br />$56.34 <br /> <br /> ~ ~ALANCE DUE $0.00 <br />PAYEE: EMERY & SONS CONST. ~/// INVOICE NO: 15481 <br />RECEIVED BY: c~ ~""._.~ . TYPE: IN CHECK ~: 0 <br />* THIS IS NOT A PERI, IT. THIS APPLICATION I~UST 60 THROUGH A Rb~IEW PROCESS WHERE THE <br />FOLLOWING MIJST BE CO¢4PLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NEC~RY INFOR~,IATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br /> <br />REMARKS: W/L S/L ONLY <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY .......... DA'rE <br /> <br />~onu* Mc ~,~6 ~v l¢,~e OFFICE COPY <br /> <br /> <br />