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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> <br /> ':,~. ~ SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />°WB~A~E: 05/23/88 TIME..* 12:51:02p <br />8fTU8 ADDRES~OP~'N, TOM <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TY~; ~00S '1 ~ 191 <br /> <br /> 955 CHERYL <br />AUIv~SVILLE OR 97325 <br /> <br /> CONTRACT CITY: <br /> <br />AUDISVILLE <br /> <br />UOS; <br /> <br />NO <br /> <br /> PO 80X 185 <br /> SUBLIMITY OR 97385 <br /> PHONE: 769-7384 <br />LOT: BLOCK: <br /> <br />SECTION; TOWNSHIP: <br /> <br /> ~ILDOW II <br /> <br />SITE NUMBER: <br />nANGYALUATION:zoN~; <br /> <br />7580 <br /> <br />WIDTH: 3 DEPTH: 3 AREA: ~5 ' UNITS: <br /> ..... 77 97 <br /> <br />83 IRREG. LOT: ~[~ CORNER: :RI <br /> <br /> YES NO <br /> <br />CATEGORY: I ~ ' <br /> <br />OCCUPANCY: RESIDENTIAL <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br />MAP: <br /> <br /> 5'] <br /> <br />TYPE: NECHANICAL <br /> <br />CONTRACTOR. NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br />PER~IT OR APPLICATION NO: <br /> <br /> ITEM <br />DOt,4ESTIC RANGE HOOD <br />~ EXHST FANS & DRYER VENTS <br />NECHANICAL 8ASR FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />~6965 <br /> <br />tOTAL ,,~A~ESSED FE~S'. <br />REVIOUS RECEIPTS <br /> I S' RECEI PT., .... <br /> <br />PAYEE: <br />RECEIVED 'BY: <br /> <br />* THIS IS A VALID PER~4IT <br />CONSTRUCTION CEASES FOR <br />REQUIREMENTS ,OF STATE <br />,SHALL BECOIVtE NULL ,AND <br /> <br />QUANTITY AMOUNT .,.: <br />-i $4,50 <br />3 $9.00 <br /> $10.00 <br /> $3.84 <br /> 1.18 <br /> <br /> $28.52 <br /> 28.52 <br /> $o.oo <br /> <br /> $0.00 <br /> NO.' <br /> <br /> I'SSUE DATE. 'l'F <br /> TO MEET ALL <br /> THIS PE~IT <br /> <br />RE,lARKS: HO FN ~ <br />DONALD E. NOODLEY, ~ARION .~ NTy 8O~LDIN¢...OFF~:CIAL.. ~. :,:.~ <br /> <br />FORM # MC 15.51~ ney TI/88 OFFICE COPY <br /> <br /> <br />