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MARION COUNTY BUILDING INSPECTION <br />BENATOR BLDG NO,, 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CQD~-A-PHQN~ 4 30 PM - 800 AM <br /> <br />DORAN, TOM <br /> <br /> 925 9TH <br />AUfeSV;LLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />':AX LOX 90040-020 c*'~6Go~x RESI DEN? l~l <br />AUf4'SV)~ LLE NO <br /> <br />NO O¢ BEDROOMS <br /> <br />MAILING ADDRESS SUCDI¥1SION <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769--7264 <br /> <br />LOT BLOCK S~CTION TOWNSHIP <br /> 3 4 25 8S <br /> 74. 110 SF <br /> <br />DEL MAR III <br /> <br />SITE NUMBER: 7898 <br />VALUATION: <br />RANGE ZONE <br /> <br /> 2W <br /> <br /> YES NO <br /> <br />MAP <br /> <br />TYPE: PLUMBTNG PERMIT OR APPLICATION NO: 17612 <br /> <br />CONTRACTOR, NO. 28838 <br />T.G,NICHOL PLUMBING, INC <br />P_O.BOX 166 <br />AUf'AS¥ILLE, OR 9?325 <br />PHONE: <br /> <br /> ITEkl <br />RESIDENTIAl. FIXTURE~ NEW CONST_ <br />PLUMBING BASE FEE <br />FLEET SURCHARG~ -ZONE 3 <br />PLUf/BING STATE SURCHARGE <br /> <br />TOTAL AssESSED <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 6 $54,90 <br /> $20_00 <br /> <br /> $3.70 <br /> <br />81.54 <br /> <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />~AYEE~ Ii: :~NVOICE NO; <br />RECEIVE0 BY: PB ~, :' ,.::iTYP¢~!i, 'CHECK ~: <br /> THIS IS A VALID PERI,lIT ~' TNi¢,;PCRMI~' EXB2RE~ 180 DAYS,FRO~4 ITS I,~AJE DATE. IF <br />CONSTRUCT~0N CEASE~ FOR A ;PE~IDB:'OF,180~ OR 'IE.':~BT~CTI~ FAI~ TO ME~ ALL <br />REdIReCTS OF ~TATE ~ ~D:~RI~ ~N~ BUILDING AND.:Z~NG ORDIN~C~, ~IS P~iT <br />~AgL B~M~ NULL ~O VOID. '::~:: / <br /> <br />REMARKS: 5 FIX <br /> <br />DONALD E. NOODLEY, MARION COLINTY BUILDING OFFICIAL / BY <br /> <br /> <br />