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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 568-5147 <br />CODE-A-PHONE 4 30 PM - 8 00 A M <br /> <br />I am portorming work on a property i own or occupy <br />I am a registered builder OR t I the authorized representatNe <br />o ~ registered builder <br />The work ¢~ill be performed by ~ registered bu~lde¢ <br />Other <br /> <br />°Wi~TE: 07/24/89 <br />sr-~, s *,c,u~ess'DORAN~ TOM <br /> <br />TIME: 4:14:06p <br /> <br />90040-020 <br /> <br /> 925 9TH <br />AUMSVI LLE <br /> <br />OR 97325 <br /> <br />AUNSVILLE <br /> <br />NO <br /> <br />FO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONEt 76g-7364 <br /> <br />'f'OWNSHIP <br /> <br /> DEL MAR III <br /> <br />SITE NUMBER: 7898 <br />RANGVALUATION:zON~ <br /> <br />74 1 t0 <br /> <br />25 UNITS 8S I~EG LOT 2W CORNEH RS <br /> SF YES NO <br /> <br />RES I OEN T I AL_ <br /> <br />MAP <br /> <br /> 61 <br /> <br />TYPE: <br /> <br />CONTRACTOR. NO. 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON, ORE 9?383 <br />PHONE: 769-?751 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES. 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: TON DORAN <br /> <br />PERMIT OR APPLICATION NO: 9017613 <br /> <br />TOTAL .ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY A~OUNT <br />I $20.00 <br />1 $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />$56.34 <br /> $o.oo <br />$56.3~ <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 18717 <br /> <br />RECEIVED BY: P8 TYPE.* IN CHECK ~.* O <br /> <br />m THIS IS NOT A PERMIT. THIS APPLICATION NUST 60 THROUGH A REVIEW PROCESS. ~'¢rtERE THE <br />FOLLO{NING D,1JST BE CONPLETEO. IT IS THE RESPONSIBILITY OF THE APPLICANT TO A,SSURB THAT <br />ALL NECESSARY INFOR~IATION HAS BEEN PROVIDED+ <br /> <br />PLAN REVIEW: BY .......... DATE ............ CITY JURISDICTION: BY <br />REMARKS: WATER/SEWER LINES <br /> <br />DATE <br /> <br />FORM#MOIS$6 REV IP88 OFFICE COPY <br /> <br /> <br />