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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> ~- PH{~IE 588-5147 <br /> CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br />I am performing work on aBroperty I own or occupy, <br />I am a registered builder OR ~he authorized represen <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other <br /> <br />ow~rC,7'E: 07/12/89 <br /> <br />SITUS ADCRESSI~)R'j~t~' TOM <br /> <br />TIME: <br /> <br />CONSTRUCTION TYPE: <br /> <br />90061-461 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 910 CHERYL ST <br />AUMSVILLE <br /> <br />OR 97225 <br /> <br /> CONTRACT OITYz <br /> <br />AUMSVILLE <br /> <br />UGB: <br /> <br />NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS: <br /> <br />lDO BOX 185 <br />SUBLIMITY OR 97285 <br />PHONE: 789-7364 <br /> <br /> GILDON II <br /> <br /> SITE NUMBER: <br />R~G~AL,UATION:zONE: <br /> <br />7771 <br /> MAR: <br /> <br />WIDTH; 1 0 DEPTN: 4 AREA: <br /> 79 97 <br /> <br /> 25 UNITS: 8~ IRREg. LOT: ~%~ CORNER: R~ <br />7863.00 SF NO NO <br /> <br />51 <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DOIM¢4 <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONEs 769-7364 <br /> <br /> ITEM <br />ExDt4ESTIC RANGE HOOD :~ <br />DOf4 EXHST FANS & DRYER VEN~S <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />NECHANICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 17240 <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />~ THIS IS A VALID PERMIT <br />CONSTRUCTION CEASES FOR <br />RE(~JIREf4E~4~ OF STATE <br />SHALL BIB6Z~4E NULL AND <br /> <br /> ®'NTY BC:~LDIN~]OFF}]bIAL / By; <br />DONALD E. NOODLEY, MARION :; , <br /> <br />,QUANTITY ANOUNT <br />1 $4.50 <br />3 $9.00 <br /> $10.00 <br /> $3.84 <br /> <br />$28.52 <br /> 28.52 <br /> $0.00 <br /> <br />$0.00 <br /> <br />DICE NO: <br /> <br /> I:~S ISSUE DATE. IF <br /> FAILS TO MEET ALL <br />~IN6 ORDINANCES, THIS PERMIT <br /> <br />FORMC~MCIS-~6 ~E',~]1~6 OFFICE COPY <br /> <br /> <br />