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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 4:30 PM. - 8:00 A.M. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> OATE: <br /> <br />°w[~TE: 06/23/89 <br /> <br />S~TUS AOD~OOP~N, TON <br /> <br />TINE: 12:50:23p <br /> <br />TAX LOT: <br /> <br />CONST~UCTION TYPE: <br /> <br />90061-191 <br /> <br />occuPaNcY: RESIDENTIAL <br /> <br /> 955 CHERYL <br />AUN~VILLE <br /> <br />OR 97825 <br /> <br />AUN~VlLLE NO <br /> <br /> PO BOX 185 <br /> SUSLINITY OR 97385 <br /> PHONE: ?69-7364 <br />LOT: BLOCK: <br /> <br />SECTION: <br /> <br /> ~I LDON II <br /> <br /> SITE NUMBER.. <br />RANelFALUATION: ZONE; <br /> <br />7580 <br /> MAP: <br /> <br />77 37 <br /> <br />9S IRREG. LOT: 2~ CORNER: RI <br /> YES. NO <br /> <br />51 <br /> <br />TYPE: PLUMING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 28638 <br />T,G+NICHOL PIJJMBING, INC <br />P.O.BOX 166 <br />AUI, ISVILLE, OR 97325 <br />PHONE: 749-2071 <br /> <br />R~ID~NTIAL FIXTURE, NEW CONST~ <br />PLUr~9ING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE EAJRCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />* THIS IS A VA~iD PERIflIT <br />CONSTRUCTION :C~ FOR <br />REQUIREmENTS OF STATE <br />SHALL BIECOI~NULL~D VOI£ <br /> <br />REMARKS: 6 FIX <br /> <br />16964 <br /> <br />QUANTITY AMOUNT <br /> 6 $54.oo <br /> $2o.oo <br /> $3.84 <br /> $3.70 <br /> <br />%OCAL~E~ED.FEES <br />~,..HREV'IOUS RECEIPTS <br /> ~S...:.REOEI~T; <br /> <br />DICE NO: <br /> <br />~81.54 <br /> 81.54 <br /> $o.oo <br /> <br />$0.00 <br /> <br /> I~TS ISE:IJE DATE+ iF <br /> FAILS TO NEET ALL <br />£N~ OROIN/~CES, .THIS PERMIT <br /> <br />DONALD E. NOODLEY, NARION ~N,,,TY BUILDING,OFFICiAL /BY <br /> <br />FOar~ ,~ MC ~s-~ R~V ~/~ OFFICE COPY <br /> <br /> <br />