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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. ';"::'5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM..- 8:00 A.M. <br /> <br />ow &TE: 08128189 <br /> DORAN, TON <br />SITUS ADDRESS: <br /> <br />TIME: <br /> <br />TAX LOT; <br /> <br />CONSTRUCTION TYPE: <br /> <br />90061-461 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br /> 910 HAZEL <br />AUfvkS. VILLE OR 97825 <br /> <br />USE OF BUILDING: <br /> <br /> CONTRACT CITY: UGB: <br />AUI~V I LLE NO <br /> <br />O00UPANT LOAD: <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br />10 5 <br /> 70 116 <br /> <br />GI LDOW II <br /> <br /> TOWNSHIP: <br /> <br /> UNITS; <br /> <br />8120.00 SF <br /> <br />SITE NUMBER: <br />VALUATION: <br />RANGE: ZONE: <br /> <br />7678 <br /> <br />2w RI <br />NO NO <br /> <br />RESIDENTIAb: <br /> <br />TYPE: PLUIVBING <br /> <br />CONTRACTOR, NO. 28838 <br />T.G.NICHOL PLUMBING, iNS <br />P.O.BOX 186 <br />AUFFCSVlLLE, OR 9732S <br />PHONE: 749-2071 <br /> <br />PER$,IlT OR APPLICATION NO-' 18958 <br /> <br /> ITE>I <br />RF-SIDENTIAL FIXTURE,. NEW CONST. <br />PLUMBING SASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUNSING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />$ THIS IS A VALID PERMIT <br />CONSTRUCTION CF-.ASE8 :FOR <br />RE-(~iIREMENTS OF STATE <br />~HALL BE'CO~E NULL AND VOIDs,.' <br /> <br />PREVZOtJS RECEIPTS <br />T~IS RECEIPT <br /> <br />8ALANCE.[;~JE <br /> <br />QUANTITY <br /> 6 <br /> <br />ANCUNT <br /> $54,00 <br /> $20.00 <br /> $3.84 <br /> $9.70 <br /> <br /> $81.54 <br /> $81~84 <br /> $o.oo <br /> <br /> $o.oo <br /> <br /> ?:',,',: "!~'I:NVOICE NO: <br /> TYPE~'. -~. CHECK <br /> iTS I~Ni~tJE DATE. IF <br /> FAIL~ TO ~4EET ALL <br />f'NG ~4D,,ZON[NG ORDINANCF~, lliZS PERMIT <br /> <br />RED4ARKS: 8 FIX <br /> <br />DONALD E. WOODLEY, MARION <br /> <br />FOF~'~ ,~ MC ~S-5~ REV ./ee OFFICE COPY <br /> <br /> <br />