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MARION COUNTY BUILDING INSPECTION <br />S.ENATOff( BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 I'M - 8 00 AM <br /> <br />Otbor <br /> <br />SIGNATURE OF ARRLICAN I <br /> <br /> DATE <br /> <br />D~% ~r¢ 02114/89 <br /> <br /> OORAN, TGI,,1 <br /> SITUS ADDRESS <br /> <br />TIME: 8:44:13a <br /> <br />90040-440 <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br /> <br /> 920 8TH ST <br />AUF4SVILLE <br /> <br />OR 97325 <br /> <br /> CONTRACT CIT~ UGS <br />AUMSVILLE NO <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE: 969-?364 <br /> <br />LOT SLOOK SECTION TO'¢~ NSHIP <br /> <br />DEL MAR ADDITION <br /> <br />SITE NUMBER: 622? <br />VALUATION: <br /> <br />MAP <br /> <br />WlD¢~ o~ 6 ~,~E* 25 UNITS 8S <br /> ?4 95 ?030.00 SF <br /> <br />LOT 2N CO,N~, RS <br /> <br /> NO NO <br /> <br />TYPE: PLUMBING <br /> <br />PER~IT OR APPLICATION NO: <br /> <br />13984 <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 /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUIV~ING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUIViBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: T.G.NICHOL RLUIVBING, lNG <br />RECEIVED BY: pr <br /> ......................... <br /> <br />OUANTITY Ar4DUNT <br /> 6 $54.00 <br /> $20.00 <br /> $3.84 <br /> $3.?0 <br /> <br />$81.54 <br /> $0.00 <br />$81.54 <br /> <br />$0.00 <br /> <br />INVOICE NO: 14819 <br />TYPE: IN CHECK ~: 0 <br /> <br />* THIS I3 A VALID PEf;~IIT m THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. If <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CXDNSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LANS AND MARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: 6 FIXTURES <br />~ALO E. ~CODLEY. MARION COUNTY BUILDING OFFICIAL / BY ~_~_..~ ................. <br /> <br />,O,M ,~ MC ~ss~ nc,, .~. OFFICE COPY <br /> <br /> <br />