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MARION COUNTY <br /> 13UILDING INSPECIION <br /> <br />DATE; 12/21/88 <br /> DORAN, TOM <br /> <br />TIME: 8:41:39a <br /> <br />90040-450 <br /> <br />RESIDENTIAL <br /> <br /> 910 8TH ST <br />AUIv~VZLLE OR 9?325 <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE: 769-?964 <br /> <br /> DEL MAR ADDITION ~3 <br /> <br />SITE NUMBER: 5228 <br />VALUATION: <br /> <br />74 95 ?030.00 SF NO NO <br /> <br />TYPE: PLUN~ING <br /> <br />P~RMIT OR APPLICATION NO~ 90131&7 <br /> <br />CONTRACTOR, NO. 912 <br />Et4ERY & SONS CONST. <br />PO BOX 998 <br />STAYTON, ORE 9?383 <br />PHONE: 769-7751 <br /> <br /> ITEM QUANTITY <br />WATER LINES, 1ST 100 FEET 1 <br />SEWER LINES, 1ST 100 FEET 1 <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ,kSSESS. ED FESS <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />APd0UNT <br /> ~20~00 <br /> 30.00 <br /> $3_84 <br /> $2.50 <br /> <br />PAYEE: TObl BORAN <br />RECEIVED BY: P8 <br /> <br />$5B.34 <br /> $o.oo <br />$55.94 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO; 13935 <br />TYPE: IN CHECK ~ 0 <br /> <br />~ THIS IS NOT A PERNIT. THIS APPLICATION NUST 60 THROUO~H A REVIE~ PROCESS ~HERE THE <br />FOLLONIN6 ~JST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO AS,SURE THAT <br />ALL NECF~ARY INFORNATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW; BY .......... DATE <br /> <br />REPlARKS: WATER & SEWER LINES <br /> <br />CITY JURISDICTION: BY ......... DATE ........... <br /> <br /> <br />