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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 />CODE-A-PHONE 430 PM - 800 A M <br /> <br />DATE: 01/18/89 TIME; 3: 16:20p <br /> <br />OWNCA 0ORAN, TON <br /> <br />T&X LO~ 9004-060 <br /> <br />C*TEGOAY RES I DENT I AL <br /> <br /> 885 9TH ST <br />AUNSV I LLE <br /> <br />OR 97325 <br /> <br />UGa NO <br /> <br />OCCUPANC~ <br /> <br />OCCUPANT LOAD <br /> <br /> NO OFBEOROOMS <br /> <br />~ 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE; 769-7364 <br /> <br /> DEL MAR III <br /> <br />SiTE NUMBER: 6385 <br />VALUATION: <br /> <br /> 8LOCK SEOl ION <br />? 4 <br /> <br />104 AaE~ <br /> <br />25 8S 2N RS 51 <br /> <br />7696.O0UN~S SF IA~e Io~ NO coA~440 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUMING, <br />P.O.8OX 166 <br />AUMSVILLE, OR 9?325 <br />PHONE: 749-2071 <br /> <br /> ITE~ <br />RESIDFJNTIAL FIXTURE, NE~ CONST. <br />PLUIVBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SUROHARGE <br /> <br />' 901359? <br /> <br />QUANTITY ANOUNT <br /> 6 $64.00 <br /> $20.00 <br /> $3+84 <br /> $3.?0 <br /> <br /> TOTAL /~BEGED FEES $81.54 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $81.54 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE, TOM DORAN ~- INVOICE NO, 14418 <br />RECEIVED BY: PB ................... ~ TYPE: IN CHECK ;b: 0 <br />* THIS IS NOT A PERRIT. THIS APPLICATION NUST GO THROUGH A REVIEN PROOESS NHERE THE <br />FOLLO~IING IvtJST 8E CONPLETED+ IT I$ THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORRATION NAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br />REMARKS: 6 FIX <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY ........ DATE ......... <br /> <br />OFF[CE COPY <br /> <br /> <br />