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MARION COUNTY ~JILDING INSPECTION <br />SENATOR ~*,.DG NO 225 <br />22~HIGH STREET NE <br /> SALEM; OREGON 97301 <br /> <br /> PHONE 588-~147 <br />CODE-A-PHONE 4 30 PM - 800 AM <br /> <br /> 03/14/89 TIME, 3,54,46 <br /> TAX LOT <br /> DORAN , TOM 90040-330 <br /> <br />865 8TH CONTRACT CITY UGB <br />AUIV~SVI LLE OR 97325 <br />use o~ ~ulLoINa AU~VILLE NO <br /> <br />MAIUNG ADDRESR ----~ <br /> <br />DEL MAR I I I <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-?364 SITE NUMBER: 8741 <br /> VALUATION: <br /> <br /> WID~0 ~EPTH 5 AaEA 25 UNITS 8S IRREG LOT 2W OOHNE~ <br /> 75 100 7500.00 SF NO NO <br /> <br />RESIDENTIAL <br /> <br />TYPE: PLUMBING PEP, NIT OR APPLICATION NO: 9014556 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUMBING, INC <br />P,O.BOX 166 <br />AUMSVILLE, OR 9?325 <br />PHONE; 749-2071 <br /> <br /> iTE~ <br />RESIDF~TIAL FIXTURE, NEW CONST, <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 6 $54.00 <br /> $20+00 <br /> $3.84 <br /> $3.70 <br /> <br /> TOTAL ASSBSSED FEES $81.54 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $81.54 <br /> _~ BALANCE BUE $0_00 <br />PAYEE: TOM BOP. AN INVOICE NO: 15430 <br />RECEIVED BY: cr ................... TYPE: IN CHECK ~: 0 <br /> <br />* THIS IS NOT A PE~4IT. THIS APPLICATION MUST GO THROU6H A REVIEW PROCESS ~ERE THE <br />FOLLOWING MUST SE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br />REMARKS: 6 FIX <br /> <br />DATE <br /> <br />CITY JURISDICTION; BY ........ DATE .......... <br /> <br />OFFICE COPY <br /> <br /> <br />