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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 588-5147 <br />CODE-A-PHONE 4::$0 RM - 8::00 A M <br /> <br />oweT,~TE: 07/24/89 <br /> <br />S~TUS ,~DURESSoORAN' TOM <br /> <br />TIME= 4:13:21p <br /> <br />TAX LOT <br /> <br />CONSTrUCTiON T~PE 90040--020 <br /> <br />OCCUPANCY RES Z DENT i AL <br /> <br /> 925 9TH <br />AUMSV I LLE OR 9?325 <br />US~ OF BUILDING <br /> <br />AUNSVILLE <br /> <br />UGB <br /> <br />NO <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br /> DEL MAR III <br /> <br />SITE NUFBER: 7898 <br /> <br />MAP <br /> <br />w~0rH ~ DE-PTH 4 AREA 28 UNITS <br /> 74 110 <br /> <br />8S IRREG LOT 2N CORNkH ~ 51 <br />SF YES NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: 9017811 <br /> <br />CONTRACTOR, NO. 55493 <br />TOf4 DORAN <br />PO BOX '~85 <br />SUBLIMITY 9?385 <br />PHONE= 769-~7364 <br /> <br /> ITEM <br />DOMESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARG~ <br /> <br />QUANTITY Af~IOUNT <br />I $4.50 <br />3 $9.00 <br /> $18.0~ <br /> $3.84 <br /> 1_18 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$28.52 <br /> $o.oo <br />$28.52 <br /> <br />PAYEE; TOM DORAN <br />RECEIVED BY: PB <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 18715 <br />IN CHECK ~: 0 <br /> <br />z THIS IS NOT A PERMIT. THIS APPLICATION MUST ~O THR(IJ(~-I A REVIEW PROCF~SS INHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN RE"VIEW: BY ........... <br />REMARKS: HD FN <br /> <br />DATE <br /> <br />CITY JU~ISDICTION~ BY <br /> <br />DATE <br /> <br />~on~ ,,, ~c ~5-s,~ H~, ~'~B OFFICE COPY <br /> <br /> <br />